Introduction:Cephalomedullary nails are preferred over intramedullary nails for internal fixation of unstable intertrochanteric fractures; however, they are associated with complications as they do not match the anatomy of the proximal femur to a great extent. Aim: To investigate functional and radiological results of Zimmer natural nails in the management of unstable intertrochanteric fractures. Materials and Methods: A longitudinal prospective study of 99 patients with unstable intertrochanteric fractures was carried out. All patients underwent closed reduction and internal fixation with 180 mm short Zimmer natural nails. Follow-up visits were scheduled for six weeks, three months, and six months for radiological healing and mobility measurements using RUSH and Parker scores, respectively. Statistical analysis was performed using Chi-square and ANOVA. Results: Mean age of patients was 69.77±11.47 years with a male to female ratio of 1:1. A majority of patients had co-morbidities like diabetes mellitus and hypertension. Average duration of surgery was 58.38 minutes with no statistically significant difference among the different categories of unstable intertrochanteric fractures. Fixation of fractures with Zimmer natural nails increased Parker score and RUSH score consistently with each follow-up visit (p<0.05). There were no postoperative complications in 93.94% cases. Conclusion: This study emphasised good functional and radiological results of Zimmer natural nails in the treatment of unstable intertrochanteric fractures.

Background: Bimalleolar fractures have shown to have worse outcomes. The present study was conducted to assess operative management of bimalleolar fractures of ankle joint. Subjects and Methods: The present study was conducted on 60 cases of bimalleolar fractures of ankle joint. Patients with compound fractures, pilon fractures, syndesmotic injuries were excluded. In all patients, reason of fracture and operative outcome was recorded. Results: Functional outcome was excellent seen in 15, good in 30, fair in 12 and poor in 3. The difference was significant (P< 0.05). Post operative complications were superficial skin infection seen in 2 and restricted ankle movement in 1. Conclusion: Bimalleolar fractures of ankle joint are common amongst males. In maximum cases, good results were obtained.