Background: Osteonecrosis of femoral head results in femoral head collapse in 75-85 % of untreated patients. It is debilitating diseases which frequently progressing to femoral head collapse and secondary osteoarthritis of hip joint. Treatment of choice is total hip replacement in end stage of diseases. But it commonly affects males between age group of 20-40 years. Hence in younger age group patients total hip joint replacement is not ideal option in early stages of osteonecrosis. So there was need of study the efficacy of decompression of femoral head and bone grafting with cancellous bone. Material and Method: A prospective analytic study of 70 hips in 50 cases was done. 50 patients with osteonecrosis of femoral head treated between 2014-2016. All patients were evaluated clinically and radiologically. Selected cases were belonging to stage 1 and stage 2 modified Ficat and Arlet classification. We performed core decompression and cancellous bone grafting. Outcome was assed clinically with Harris hip score (HHS), Visual analogue score (VAS), and radiologically by x rays and MRI. MRI was done preoperatively to confirm the diagnosis and 3, 6, and 12 months post operatively for assessment of healing. Results: Outcome was assed clinically with Harris hip score (HHS) and Visual analogue score (VAS). In our series of 70 hips in 50 cases, 22 hips had excellent, 28 hips had good outcome, 8 fair and 12 poor. All excellent and good patients returned to their prior activity. Progressive pain and progression of collapse seen in 20 patients having poor and fair results and they eventually ended up in total hip replacement. Conclusion: We found that use of cancellous bone graft in the management of osteonecrosis of femoral head proved to be an excellent treatment modality. Procedure provides decompression of the avascular lesion, removal of necrotic bone and elevation of articular surface of head through core track

Background and Objectives: Fractures of shaft of humerus consists of 1% -3% of all fractures. Despite the numerous surgical modalities, plate osteosynthesis remains the gold standard for fixation of humerus shaft fractures. The aim of this study is to see the functional results of humerus shaft fractures treated with plating, reemphasizes the effectiveness of plate osteosynthesis in the management of humeral shaft fractures so as to restore the patient structurally and functionally to near normal status. Materials and Methods: This is retrospective and prospective study of 30 cases of fractures of shaft of humerus admitted at S.S.G. Hospital, Vadodara, Gujarat in between july 2015 to june 2016. Cases were sleceted as per inclusion and exclusion criteria. All patients were operated using posterior or anterolateral approach. They were assessed radiologically and clinically for fracture union at regular intervals of 6 wks, 12 wks and 18wks by using DR. R.N. Deweshwar's Score. Results: Our study of 30 cases, there were 25 men and 5 women, with average age of 39 years.16 (53.33%) patients were admitted due to fall from height,12 (40%) due to road traffic accidents and 2 (6.66%) patients due to assult with predominance of right side 20(66.66%) patients. Out of 30 cases 21(70%) patients of middle third, 7 (23.33%) were lower third, and 2 (6.66%) were upper third. 28 patients having close fractures and 2 have open injury. simple transverse fractures were most common that is 12(40%).10 (33.33%) patients were having associate injuries. The fracture united in 29(96.66%) patients with 1 (3.33%) patient going for non-union. Good and full range of shoulder and elbow movements was present in 28 (93.33%) patients with 2 patients having fair shoulder range of movement and 2 patients having fair elbow range of movement. Conclusion: Open reduction internal fixation with plating is an excellent mode of treatment in fracture of shaft of humerus, which consistently gives long term good results.