Introduction: The management of comminuted inter trochanteric fractures of femur in elderly patients is tricky as there is challenge of difficult anatomical reduction in osteoporotic bones, need for prolonged immobilization after surgery and more chances of screw cut out in poor quality bone. Prolonged immobilization will leads into complications like bed sores, chest infections, deep vein thrombosis, dependency and psycho social side effects, increasing the both morbidity and mortality. The aim of our study was to evaluate the functional outcome of cemented bipolar hemiarthroplasty in comminuted inter trochanteric fractures of femur in elderly patients using Harris Hip Score. Materials and Methods: This prospective study was conducted at Basaveshwara Teaching And General Hospital attached to M R Medical college, Kalaburagi. Twenty elderly patients with age above sixty years having comminuted inter trochanteric fractures of femur treated by using cemented bipolar hemi arthroplasty from june 2016 to may 2018 were evaluated for functional outcome using Harris Hip Score. Results: There were 12 female and 8 male patients with mean age of 71.29(60 -84) years treated by cemented bipolar hemiarthroplaty. The average surgery time was 96.34 min (64-125min), the average intraoperative blood loss was 355ml and average stay in hospital was for 14.5 days. Patients were followed up at 6 weeks, 3months, 6 month and 1 year. At one year follow up with help of Harris Hip Score 8 patients (40%) were graded as excellent, 10 patients (50%) as good and 2 patients (10%) as fair. Conclusion:The procedure offered rapid mobilization, early return to pre injury level and gave a lasting solution to elderly patients with comminuted inter trochanteric fractures of femur.

Background: In the last few decades, there has been an increasing trend towards operative treatment for displaced midshaft clavicular fractures. These fractures are managed by plate fixation and titanium elastic nailing system, but the optimal fixation method for these types of fractures remains a topic of debate. The aim of this study is to compare functional outcome of displaced midshaft clavicle fractures treated with locking compression plate and titanium elastic nail system and its associated complications. Material and Method: 40 patients treated with plating and titanium elastic nailing system between October 2019 and March 2021 were analyzed. They were randomized in two groups (20 in plate group and 20 in titanium elastic system group). Clinical and radiological assessments were performed at the 6 th week, 3 rd and 6th month postoperatively. The functional outcome was assessed by Constant-Murley score. Both surgical techniques were compared in terms of radiological union, clinical functions and complications associated. Result: Earlier union and functional outcome scores were better for the Titanium elastic nail system group than plating group (p < 0.01). The rate of complications was higher in the plate group compared with the Titanium elastic nail system group. Conclusion:In treating displaced midshaft clavicle fractures Titanium elastic nailing system is superior to clavicular plating. Titanium elastic nailing system technique is safe, minimally invasive and has better functional outcome, faster union, fewer complication and cosmetically more acceptable than plating.

Bucket-handle meniscal tears are defined as vertical longitudinal tears of the meniscus with displacement of the torn inner fragment toward the intercondylar notch region. It is most commonly encountered in medial meniscus. Management of bucket handle tears is important to preserve knee function & preserving the meniscus will limit future osteoarthrosis. A series of 20 cases of bucket handle medial meniscus tears were treated by Arthroscopic repair: All-inside technique and were followed up regularly till 6months and evaluated using Lysholm Knee Scoring Scale. Most patients had Excellent score at 6 th month follow-up. Our study suggests Arthroscopic repair: All-inside technique is an effective management of medial meniscus bucket handle tears.

Background Calcaneal fractures account for approximately 2% of all fractures, with displaced intra-articular fractures comprising 60% to 75% of these injuries1. Studies in fracture patterns, soft-tissue management, and outcomes of calcaneal fractures have led to the debate on the optimal management of calcaneal fractures. Several Prospective randomized studies have shown equivocal outcomes with operative and nonoperative treatment. However, recent trends in the literature suggest that restoration of physiologic parameters of length, height, and alignment of the calcaneus may lead to better long-term results. Initial studies using extensile approaches showed higher rates of wound complications with operative treatment; however, recent studies have shown lower complication rates with sinus tarsi and other minimally invasive techniques. Regardless of the mode of treatment, calcaneal fractures are associated with numerous complications and guarded outcomes with signicant longterm morbidity. Objectives 1. To comparatively study the functional outcome of calcaneum fracture when treated conservatively with that of operative management 2. To study complication when treated conservatively with that of operative management METHODS Study was conducted in Department of Orthopedics, Basaveshwara Teaching and General Hospital, Kalaburagi.30 patients with 30 calcaneum fracture were included in the study. Outcome of conservative and operative management was compared using Creighton Nebrasaka health foundation scoring system. Pre treatment and post treatment (at follow up) Bohler's angle was also compared. Chisquare analysis and paired t test was done to compare the results of conservative and operative management. Restoration of the RESULTS Bohler's angle was better with operative management as compared to conservative management. Functional outcome for type I fractures was better with conservative management. For type II and type III functional outcome was relatively better with operative management for type IV fractures the outcome was signicantly better with operative management. A signicant correlation was seen between the post treatment Bohler's angle and C-N scores. Interpretation & Conclusion Conservative management has better functional outcome for undisplaced fractures. Where as displaced and comminuted fractures anatomical reduction and restoration of Bohler's angle is very important. Bohler's angle has a prognostic importance and correlates well with the functional outcome

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