No abstract

A fall on outstretched hand is most common mechanism for causing fracture of distal radius. The majority of factures in the elderly are extra-articular, whereas there is much higher incidence of intraarticular fracture in younger patients. In the present study 50 patients were included with unstable distal end radius fractures, in which 25 cases were managed with percutaneous pinning and 25 cases were managed by open reduction and internal fixation with volar plating. Patients were evaluated clinically and radiologically. The results were graded according to Green and O'brain score and comparison was done according to the union and functional outcome in individual cases. In our study we found that fracture of distal radius managed either with volar locking plate or by percutaneous pinning with k-wire fixation had empowering results.

Background: Hip fracture contributes to both morbidity and mortality in the elderly. The dynamic hip screw (DHS), commonly used in extramedullary fixation, has become a standard implant in treatment of these fractures. We conducted this study to investigate the efficacy of DHS fixation in treatment of intertrochanteric fractures. Materials & Methods:The plan was to study 50 cases of inter-trochanteric femur fractures of all types in Boyd and Griffin classification treated with Dynamic Hip Screw and to assess the outcome and the postoperative complications of it. Brief history and clinical examination was done according to the proforma attached. Radiological examination was done. Postoperative assessment was done. All the results were analyzed by SPSS software. Results: In the DHS group, skin puckering with superficial infection was seen in 1 (2%) patient. Cut-out was seen in 2 patients. Shortening was seen in 1 (2%) patients. Mean TAD in the present study was found to be

Supracondylar fracture of humerus is a common pediatric elbow injury contributing 60-70% of all elbow injuries. The management of displaced supracondylar fracture of the humerus is one of the most difficult of the many fractures seen in children. Displaced fractures are inherently unstable. Conservative treatment often results in malunion. Open reduction and internal fixation is more invasive and recovery is prolonged. Closed reduction and percutaneous pinning is the preferred method of treatment for displaced type 3 supracondylar fractures in children. This study was done to know the age, sex, side of involvement, mode and mechanism of injury, anatomical and functional results of treatment of this type 3 fractures by closed reduction and percutaneous pinning and also the complications of this procedure. 30 cases of displaced supracondylar fractures of humerus in children who attended in first 24 hours of injury were managed by closed reduction and percutaneous k wire fixation under image intensifier with in 8hours were studied. Out of 30 cases 24 cases had excellent results, 6 cases have good results, according to modified Flynn's criteria. One patient developed ulnar nerve palsy which was iatrogenic, and improved completely after wire removal. Another was brachial artery injury which was explored and recovered completely. This concludes closed reduction and percutaneous k wire fixation is a safe and reliable technique for obtaining and maintaining an excellent reduction in this difficult fracture.