Background: Knee osteoarthritis is a significant cause of functional restriction among the Indian population. In the initial stages when patients present with isolated medial compartment changes, the surgical options in the inventory are few. The scarcity of a simple yet cost-effective procedure has contributed to the growing popularity of isolated proximal fibular osteotomy (PFO) since its inception. This study aims to evaluate the outcome among patients who underwent PFO for symptomatic knee osteoarthritis. Materials and Methods: Fifty patients with medial unicompartmental osteoarthritis of the knee were treated with PFO from December 2017 to December 2020. Patient particulars and intra-operative parameters were recorded. The postintervention functional outcome was evaluated by comparing the preoperative Oxford Knee Score (OKS) with that reported postoperatively. Results: The mean age of the patients included in the study was 48.20 years, with a male: Female ratio of 1.8:1. Sixty-eight percent cases presented with Kellgren–Lawrence Stage III. The patients were followed for a mean of 18.18 months after the procedure. The preoperative, 1-month, 2-month, and 6-month OKS were 24.76 ± 2.63, 33.34 ± 3.84, 39.36 ± 4.65, and 43.02 ± 4.66, respectively. At 6 months postsurgery, 82% of patients were in the satisfactory functional score range (40–48). The most commonly observed complication was superficial peroneal nerve palsy. Conclusion: Despite the simple technique, PFO has been associated with good outcomes and lesser complications. Selection of patients and placement of the osteotomy site are crucial for the success of the procedure. The present study revealed that patients irrespective of their age, gender, or stage of the disease would benefit from the procedure.

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Patellofemoral dislocations are commonly encountered knee ailment. Although majority of the patients are managed conservatively, depending on the patients’ demands and predisposing factors, patients with recurrent dislocations often require surgical intervention. The main aim of any surgical procedure should be to restore the anatomy of the soft tissue as well as the bony elements. We here describe a technique which combines transverse patella double tunnel technique with tibial tuberosity distalization and medicalization to reconstruct the medial patellofemoral ligament using a free autologous semitendinosus graft.

Objective: The objective of the study is to evaluate and compare the results of Halifax and proximal femoral nail antirotation-Asia (PFNA II) in proximal femur fractures. Methods: From December 2018 to August 2020, 30 proximal femur fracture nailing were performed. After applying the exclusion criteria, there were 24 patients to be evaluated. The patients were divided into two groups: Halifax group and PFNA II group. The scoring system used for clinical evaluation was Harris hip Score. Results: The follow-up period in both the groups was at least 6 months. The proportion of patients with improvements of Harris hip score at different time intervals of the patients treated with Halifax nail was marginally higher than that of the patients treated with Halifax and PFNA II nail but it was not significant (P > 0.05). Conclusion: No statistically significant difference was found between Halifax nail and Halifax and PFNA II nail in surgeries done at this particular institution after comparative analysis of Harris hip scores and other parameters.

Background: Intertrochanteric fractures of femur are one of the most common fractures encountered in the elderly population. Dynamic hip screw (DHS) with a side plate is the standard modality of treatment especially in the case of stable fractures because it creates a controlled collapse at fracture site, leading to union. A comparative study between minimally invasive surgical technique with the conventional surgical technique for the fixation of intertrochanteric fractures with the DHS device was done. Methods: Thirty patients with stable intertrochanteric fractures (31A1.1, 31A1.2, and 31A1.3) were treated with the conventional open technique and another thirty with a new minimally invasive technique. Patients in both groups were followed up for at least 9 months. Results: There was less preoperative and postoperative blood loss, less soft-tissue destruction, less pain postoperatively, shorter hospital stays, and early mobilization and faster union with the minimally invasive technique. Conclusion: The study concludes that minimally invasive technique is superior to conventional (open) DHS in stable fractures.