<p class="abstract"><strong>Background:</strong> In the treatment of fractures of the distal third of tibia and fibula treated by interlocking nail of tibia, the role of fixing the fibular fracture is not clearly defined. This study was conducted to assess the benefits of fixation of fibular fracture in distal third leg bones fractures<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> 95 patients were enrolled into study and divided randomly into two groups based on whether fibula fixed or not with interlock intramedullary nailing tibia. Patients were followed for an average period of 11 months both radiologically and clinically.<strong></strong></p><p class="abstract"><strong>Results:</strong> We observed that the average valgus angulation was significantly less<strong> </strong>(P =0.001) in the group where fibula was fixed. The outcome of the two groups for clinical ankle score, time of union and complication showed no difference (P ≥0.05)<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> We concluded that fixation of fibula decrease the malalignment of tibia in distal third fractures of tibia and fibula treated with interlocking nail of tibia<span lang="EN-IN">.</span></p><p class="abstract"> </p>

Ganglion cysts are pseudocysts with no epithelial lining of their own. These are non- neoplastic lesions filled with gelatinous material and originate from tendon sheath, ligament, bursa, joint capsule or subchondral bone. Rarely, they may present in an intramuscular location, away from the joint with no synovial communication. Upper limb involvement is more common and such lesions are usually found on the hand, wrist and ankle. Despite their common occurrence, peripheral nerve compression due to these cysts is rare with cases of ulnar and median nerve compressions infrequently reported in the literature. In lower limb, dorsal surface of the foot is reported to be the most common site. Occurrence of ganglion cysts in lower limb causing compressive neuropathy is an even rarer combination. We report a case with unilateral common peroneal nerve palsy with incidentally detected bilateral intramuscular ganglion cysts. Even an extensive literature search did not reveal any such case report. The patient underwent high resolution ultrasound imaging for the possible cause of compression of common peroneal nerve. Incidentally, cystic lesions were identified in the intramuscular plane causing nerve compression in the right leg with similar lesions at the same location in the left leg. On the left side, patient was free of neuropathic symptoms as the nerve was seen passing between the cystic lesions, not getting compressed. The patient then underwent MR imaging with contrast and intramuscular ganglion was kept as the provisional diagnosis of the cystic lesion. Operative management was planned to relieve the compressive neuropathy and excision biopsy of the lesion proved it to be a ganglion cyst.

Aim and Objectives : To assess the mode , pattern of injury and burden of traumatic patients in emergency department of level 1 trauma center, on a specic festival . This was an epidemiological study conducted on an utta Materials and Methods : rayan festival ( 12 January to 16 January 2023 ) with patient attending in emergency department , Institute of traumatology and Orthopedics, Sawai Man Singh Hospital, Jaipur, Rajasthan . Study group consisted of 670 patients . Inclusion criteria: injured patients of all age groups who were directly associated with festival in form of injury by thread of kite ( cut by manja ) or fall from height while ying kite on festival , attending in emergency department . 602 ( Results & Discussion: 89.85 % ) patients were injured by thread of kite (cut by manja) and 68 (10.15 %) patients were injured due to fall from height while ying kite . Ratio of male : female was 2.9:1, study shows male predominance and maximum patients (39.40 %)were injured in 16-30 years age group. Common mode of injury was cut by manja and belong to green category which were treated in emergency minor OT and discharged. 27 ( 4.02 % ) patients belonged to red category, 9 injured by thread of kite and 18 injured due to fall from height . All 27 patients required admission after primary assessment and 7 needed urgent surgery, (4 patient cut by manja and 3 fall from height) , 2 patient survived and 2 expired ( within 48 hour ) after surgery due to deep neck cut (red category). 11 patients were brought dead . Patients having deep neck cut by thread belong to red and Black category, age of all patients were below the 10 years. Patient with history of fall from height were from all age groups. we can Conclusion: decrease the number of cases in festival epidemic by wearing helmet , tie scarf around neck , avoid child sitting in front of bike rider and creating awareness among population regarding such festive epidemics, one can decrease burden of trauma patients landing up in emergency department .