Background: The frequency of Femur Neck fracture, one of the most common traumatic injuries in the elderly increases continuously due to the ageing of population on the planet [1] . It has been predicted that by 2050, the number of hip fractures would triple. Modular bipolar is an intermediate between the more type and total hip replacement, The primary goal of treatment of in the active elderly population is early restoration of premorbid walking ability and excellence of life Materials and methods: A prospective, single blinded, randomized control trial with 33 cases, out of which 12 were males and 21 were females was conducted. The postoperative evaluation was done both clinically and radiologically. Out of the 33 cases, all patients were available for follow up till one year which was taken as a basic pre-requisite for inclusion in the study. At each follow up, patients were evaluated clinically using the Modified Harris Hip Score and radiologically with appropriate X-rays. Results: The modified harris hip score where by the end of one year there is 81.9% of good functional outcome. During study period 3 (9.7%) of the patients died due to medical conditions unrelated to surgical cause. the clinical outcome where in 27.2% had Excellent results, 45.5% had Good results and 12.1% had poor results. In our study we noticed that 4 of the patients were able to sit crossed leg and squat. Conclusion: Hemiarthroplasty using Modular Bipolar prosthesis for fractures of the femoral neck provides freedom from pain, better range of movement and more rapid return to unassisted activity with an acceptable complication rate. The long term results using Modular bipolar prosthesis needs further study fora longer period in a larger sample with a direct comparison between the cemented versus uncemented groups. However, considering the good result achieved in the short term, it seems reasonable to use canal bone ratio in bipolar hemiarthroplasty as pre-operative template.

Background: Covering soft tissue defect of the foot is important with respect to function and aesthetic means. It is a challenging task and requires a clear cut planning so as to use the right flap for the right size and site in the foot. Materials & methods: A total of fifty three patients with soft tissue defects in the foot admitted between August 2014 to April 2015 under Hand & Microsurgery, Department of Orthopaedics, were included in this study. Post-operatively they were monitored for any flap related complications. Results: The most common defects were trauma related followed by trophic ulcers and infective causes. Various coverage options which include fasciocutaneous flaps, muscle flaps, free flaps and split thickness skin grafts (STSG) were used. All the flaps were satisfactorily taken up at the end of follow-up period (three months). Conclusion: Planning of the defect based on site and size is very important so as to obtain satisfactory result.

Prospective evaluation of medial opening wedge high tibial osteotomy with tibial plate fixation for the treatment of medial compartment osteoarthritis of knee. Method:The study included 31 cases of medial compartment osteoarthritis of knee joint of which 18 were males and 13 were females in the age group of 40-60 years. All the osteotomies were fixed with either wedged plate (n=11) or non wedged plate(n=20).For the clinical evaluation of the patients Hospital of Special Surgery (HSS) score, Knee Society score(KSS) and visual analogue score were taken into consideration for clinical evaluation of the patients. Results:The mean preoperative HSS score was 58.4 and objective and functional knee society score was 57.4 and 57.2 respectively. In the last assessments of our cases, mean improvements detected in HSS scores, Objective and functional scores of Knee Society score were 85.8, 87.3, and 87.1, respectively at 6 months follow up post operatively. Visual analogue score was improved from 8 preoperatively to 1.2 post operatively. Complications such as tendinitis (9.6%), hardware irritation (9.6%), delayed union (6.4%), lateral cortex fracture (3.2%) and superficial infection (3.2%). Conclusion: According to our information, there was significant improvement in the functional outcome and was concluded that medial opening wedge high tibial osteotomy with plate fixation is a reliable and effective procedure for medial compartment osteoarthritis of knee joint.

<p class="abstract"><strong>Background:</strong> The present study aimed to compare the effectiveness of a single dose and two doses of intraarticular corticosteroids injections followed by home exercise programme in patients with adhesive capsulitis.</p><p class="abstract"><strong>Methods:</strong> The study was done over two years. Eighty four patients with adhesive capsulitis were enrolled in the study. The patients were randomly assigned to two groups: In group I 38 patients were given a single dose of intraarticular corticosteroid injection (1 mL, 40 mg methylprednisolone acetate) followed by a twelve-week home exercise programme.  In group II 46 patients were given two doses of intraarticular corticosteroid injection (1 mL, 40 mg methylprednisolone acetate) at first and third week followed by home exercise programme. All the patients were assed for functional out come at six and twelve weeks using Shoulder pain and disability index (SPADI) and Constant Moore’s shoulder score (CMS).<strong></strong></p><p class="abstract"><strong>Results:</strong> Both groups showed considerable improvement from the baseline, but no significant differences were found between the two groups at twelve weeks. Mean changes in range of motion and shoulder pain and disability index–pain score were statistically no different between the two groups at the twelve weeks.</p><p><strong>Conclusions:</strong> Intraarticular corticosteroids have the additive effect of providing rapid pain relief when combined with home exercise program in adhesive capsulitis.  No significant differences in outcome were found in patients treated with a single or two doses of corticosteroid injection.</p>