<p class="abstract"><strong>Background:</strong> Despite being one of the most common fractures encountered in patients, intra-articular distal radius fractures still pose therapeutic challenge to Orthopaedic surgeons. With the advent of locking plates, the fixation of these fractures has been made better, specifically by fixed angle volar locking plate. This study investigates the efficacy of these plates using volar approach, functional and clinical outcome, in addition to the radiological alignment.</p><p class="abstract"><strong>Methods:</strong> Thirty patients with closed distal radius fractures, with AO TYPE B3, B4, AND C fracture pattern, operated with distal radius plate fixation using volar approach, were included in the study during the period of August 2014 to August 2016. With a minimum follow up of six months, radiological outcome was analysed and functional outcome recorded (Gartland and Werley’s demerit scoring system).<strong></strong></p><p class="abstract"><strong>Results:</strong> With a mean age of 42 years and follow up of six months, the range of movement of the wrist was very satisfactory, and the mean grip strength was 80% of the opposite wrist. Radiological parameters were well‑maintained, and functional parameters by Gartland and Werley showed a significant improvement in most of the patients during the follow‑up period. The complication rate was less and insignificant.</p><p class="abstract"><strong>Conclusions:</strong> Primary volar plate fixation of intraarticular distal radius fracture provides a stable construct that helps in early mobilization, thereby better functional outcomes and minimizes chances of delayed/malunion.</p>

Introduction: Intertrochanteric hip fractures are common with advancing age. PFN is now increasingly used to fix unstable intertrochantric fractures however it does not fix greater trochanter. Gluteus medius and gluteus minimus attach to greater trochanter, hence abductor weakness is a likely consequence. In this study we measured the incidence of post operative abductor weakness (trendelenberg gait) and result of targeted physiotherapy on it. Materials and Methods: Between September 2014 and august 2016, 45 patients with unstable intertrochanteric fractures underwent proximal femoral nailing in the Department of Orthopaedics Pt. J. N. M Medical College and Dr. B.R.A.M Hospital, Raipur (C.G.). The patients included in this study were more than 18 years of age with unstable fractures classified according to Modified Evans classification type 3, 4 and 5 with the duration of trauma less than 3 weeks. The functional assessment was made using Mckay criteria through analysis of abductor muscle strength. Result: Immediate Postoperative muscle power was Grade 1 (02 pt.), Grade 2 (27 pt.), and Grade 3 (14 pt.). At 6 months follow up only 02 patients had grade 4 power (due to varus malunion) rest all had muscle power Grade 5. In this study we found that only 2 out of 45 patients (4.4%) had initial abductor power grade 1, grade 2 -64.4% and rest had grade 3 muscle power. Only 2 patient (due to varus malunion) had grade 4 power at 6 months follow-up rest all patients regained power grade 5. Conclusion: Abductor weakness and trendelenberg gait are fairly common in patients treated with PFN and this complaint is often overlooked. Abductor muscle power should be properly assessed post-operatively and physiotherapy for abductor weakness is essential for complete rehabilitation of patients.

Background: Proximal humerus fractures are one of the most common fractures occurring in upperlimbs and the third most common fractures in elderly population after hip and distal radius fractures. Previously, most of the proximal humeral fractures have been treated by non-operative methods and most are resulting in good functional outcomes. But fractures with significant displacement, especially in comminuted fractures there were poor functional outcomes. So, today's era is moving to surgical fixation for better results. However, best method of treating displaced proximal humerus fractures is still debatable where fixation with the philos plate is near ideal good technique. Aim of this study is to evaluate the outcomes after Philos plating. Materials and Methods: The present study was a prospective study carried out from July 2016 to October 2018, on 25 cases satisfying the inclusion criteria following complete assessment. Patients were assessed for functional and radiological outcome following Philos plating. Result: Evaluated with Constant and Murley score, Head shaft angle, Height of tuberosity to humeral head and implant position. In study, 3 (12%) of 25 patients had excellent results, 11 (44%) had good results and 10(40%) had fair results and 1(4%) had poor result out of 25. Conclusion: PHILOS appears to be a better mode of treatment for displaced proximal humerus fracture (type 2, 3, 4 according to Neer's classification) where stable internal fixation, early mobilization and accurate anatomical restoration of the articular surface and tuberosities are crucial for the better functional outcome.

Introduction–Total hip replacement (THR) is highly effective procedure for patients with hip joint deterioration by various conditions, as it relieves pain, improve mobility, attain stability with restoration of limb length and normal mechanics of hip joint, thus improving the standard of life for patient. Objective- The objectives of the study are: 1. To assess the short-term functional outcome in patients undergoing total hip arthroplasty post operatively. 2.Comparison of Harris hip score of present study with available literature. Material and methods- A total 40 patients with 53 hips with whom Total hip replacement was done, were followed up in this prospective observational study, on the basis of pre-defined inclusion and exclusion criteria. ANNOVA test and paired t test was done for statistical analysis. Significance level was fixed at P < 0.05. Result- In our study post op average HHS pain score increased to 37.95, thus improving patients gait and daily activities score to 40.1, with minimum deformity as seen from absence of deformity score being 4. Conclusion- Total hip replacement continues to be a remarkable procedure to provide dramatic reduction in debilitating arthritis hip pain, increased mobility and hip function with long lasting effects in patients with advanced hip problems.

<p class="abstract"><strong>Background:</strong> Negative pressure wound therapy is an advanced wound therapy technique that helps in healing the wounds and accelerates granulation tissue as well as wound closure.</p><p class="abstract"><strong>Methods:</strong> Prospective randomized interventional study was done in Dept. of Orthopedics, Dr. BRAM Hospital, Pt. JNM Medical college, Raipur during period from January 2016 to December 2016 involving 25 patients with open fractures up to Gustilo Anderson grade IIIB. All were subjected to this wound technique and response was observed as granulation, size of wound and closure duration.<strong></strong></p><p class="abstract"><strong>Results:</strong> There was up to 10 to 20 mm reduction in wound size with each dressing in half the patients and up to 10 mm in other half of the patients. There was significant reduction in the bacterial growth in all patients and closure was attained in all the subjects after a few therapies.</p><p class="abstract"><strong>Conclusions:</strong> Negative pressure wound therapy is a promising technique to reduce the size of the wound in large wound associated with compound fractures and hasten the healing of wound and its closure.</p>