Introduction: Olecranon fractures are one of the most commonly seen orthopaedic injuries in the emergency room. The K-wire which is used in the AO Tension Band Wiring (TBW) technique resists the shear better than the figure of eight wire alone, but, it does not add compression to the fixation strength. But, the cancellous screw provides the strength of fixation i.e., by converting the tensile force to a compressive force at the fracture site, with additional resistance to the displacement due to the lag screw compression Our study is retrospective as well as prospective done between 1 September 2018 to 30 September 2019 for 13 months at B J Medical College, civil Hospital Ahmedabad with 34 cases. Objective To clinically evaluate the result of the 6.5 mm cancellous screw with washer V/s tension band wiring for fractures of the olecranon To assess Functional outcome and union rate among two methods In Mayo Type IB and IIA Fractures Material and Methods: sixteen cases of fractures of the olecranon which were treated by using 6.5mm AO cancellous screws with 32 mm threads, screw length of 80-105mm and 6.5 mm washer and 18 cases are treated with a 16 gauge TBW, were evaluated. All the cases were followed up and the results were analyzed by using a Mayo Elbow Performance Index. Results: Excellent results were achieved with 6.5mm CCS with Washer in 13(38.23%) patients while with TBW K wire 12(35.29%) patients, good results were achieved with 6.5mm CCS with Washer in 2(5.88%) patients while with TBW K wire 4(11.76%) patients fair results were achieved 6.5mm CCS with Washer in 1(2.94%) patients while with TBW K wire 2(5.88%) patients There were no poor results Conclusion:The technique of close reduction and internal fixation with 6.5 mm CCS is as effective method than open reduction and internal fixation with TBW.

Introduction: Spinal traumas are common and leading problem in orthopaedics practice. The individuals are at a risk of high energy trauma in modern era. Unstable thoraco-lumbar burst fractures are serious injuries of concern, if left untreated may result in marked morbidity and disability to the patient. Thoracolumbar is the second most common segment involved in the vertebral column following cervical segment in patients with spinal injuries. Historically, the thoracolumbar fractures were treated by recumbency (bed rest for a period of 8-12 weeks). In a resource scarce country like India, the care is often neglected to the victims. So, it is the need of the hour to explore possibility of surgical stabilization, early mobilization and rehabilitation of patients. In this study, we stabilized the patients with unstable thoracolumbar burst fractures with short segment posterior instrumentation with transpedicular screws. Aim: To study efficacy of short segment posterior instrumentation in achieving stabilization of thoracic and lumbar fractures of spine. Materials and Methods: This was a prospective interventional study undertaken in the Department of Orthopedics, New Civil Hospital, Ahmedabad. 32 Adult patients with acute thoracolumbar injury admitted to Civil Hospital, AHMEDABAD were included in this study after obtaining their valid, written informed consent. Plain x-rays in anterio-posterior and lateral views were obtained and the instability of spine was confirmed using Thoraco-Lumbar Injury Classification and Severity Score. All patients underwent short segment posterior Fixation and were followed up in OPD every 4 th week after surgery till 6 months and for each follow up, neurological, radiological and clinical examinations were done to assess the spinal stability. Results and Discussion: All fractures were classified as Type C fractures according to the AO classification system. Intermediate screw was inserted in 21 patients out of 32. This study showed that fracture level screw fixation technique could achieve and maintain correction, regional angle and vertebral height. We have used the intermediate screw option in the fractured vertebra level as a method of augmentation in the current study. The results were comparable to other studies in the past. Conclusion:The findings of these study show that short segment posterior instrumentation is an excellent implant system used in the treatment of vertebral fractures. There is a very high statistically significant restoration of vertebral body height, mean regional angle and mean anterior wedge angle.

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Background: Olecranon fractures are one of the most commonly seen orthopaedic injuries in the emergency room. The K-wire which is used in the AO Tension Band Wiring (TBW) technique resists the shear better than the figure of eight wire alone, but, it does not add compression to the fixation strength. But, the cancellous screw provides the strength of fixation i.e., by converting the tensile force to a compressive force at the fracture site, with additional resistance to the displacement due to the lag screw compression Objective To clinically evaluate the result of the 6.5 mm cancellous screw with washer V/s tension band wiring for fractures of the olecranon. To assess the elbow joint motion and stability after the procedure. Material and Methods: sixteen cases of fractures of the olecranon which were treated by using 6.5mm AO cancellous screws with a screw length of 80-105mm and 6.5 mm washer and 18 cases are treated with a 16 gauge TBW, were evaluated. All the cases were followed up and the results were analyzed by using a 19 point scale. Results: Excellent results were achieved with 6.5mm CCS with Washer in 13 (38.23%) patients while with TBW K wire 12(35.29%) patients, good results were achieved with 6.5mm CCS with Washer in 2 (5.88%) patients while with TBW K wire 4(11.76%) patients fair results were achieved 6.5mm CCS with Washer in 1 (2.94%) patients while with TBW K wire 2(5.88%) patients There were no poor results Conclusion:The technique of close reduction and internal fixation with 6.5 mm CCS is better than open reduction and internal fixation with TBW.

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