Pelvic ring fractures are the most unstable fractures because of the posterior ring disruption. Motor vehicle accidents lead to high-energy pelvic ring fractures, which leads to the sacroiliac joint disruption with complete or incomplete posterior ring disruption. Surgical correction of unstable pelvic fractures is must for better functional outcomes. This study was conducted to assess the short term functional and radiological outcome of the percutaneous sacroiliac screw fixation for sacral fractures and sacroiliac fracture dislocations based on scoring system suggested by Merle d' Aubigne' and Postel. All adult patients in the age group 15 to 70yrs presenting with sacral fractures and sacroiliac dislocations treated with percutaneous sacroiliac screw fixation were included in the study. 23 patients satisfying the inclusion criteria were included, and followed up over a period of 6 months. 47.8% of the patients required one screw during the surgery. 77% patients had good union of fractures, 18% had malunion and one patient had delayed union. There was no significant association between number of screws used and radiological outcome. There was significant association between radiological outcomes with associated injury with hip.

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Pelvic ring fractures are the most difficult to treat fractures in adults, with the increase in prevalence of road traffic accidents, the number of pelvic fractures is increasing over the period of time. The mortality in these pelvic fractures can reach up to 20%, despite the modern treatment modalities being available. Ilio-sacral screw fixation has been used frequently to treat unstable posterior pelvic ring fractures, where one or two screws are used. Patients scheduled to undergo percutaneous sacroiliac screw fixation for pelvic ring fracture were included in the study. This study aims to find out the correlation of outcome based on Merle d' Aubigne' and Postel scoring of Patients treated with percutaneous sacroiliac screw fixation. The patients had mean hospital stay of 11-12 days. The study had total of 23 patients of posterior pelvic ring fracture, out of which one patient had died. Amongst the remaining 22 patients, 87% had history of Road Traffic Accidents trauma. 78% patients had associated injuries. The study used Modified Merle d'Aubigne' & Postel Clinical Score to see for the functional outcome, which consisted of scoring based on pain, walking and range of motion, the study found significant association between score and associated injury with hip.

The most common orthopaedic injuries related to falls and road traffic accidents are fractures. Mostly these are hip fractures, distal radial fractures and the fractures of humerus. Proximal humerus fractures represent approximately 4% of all the fractures. Increased number falls and increased prevalence of osteoporosis leads to more number of cases of proximal humerus fractures. In elderly patients the most common mechanism of injury in proximal humeral fractures is a fall from standing height onto an outstretched upper extremity. In patients less than 50 years of age, high energy trauma like motor vehicle accidents and falls from significant heights or athletic injuries are the most common causes for these fractures.In our study, we evaluated 50 cases of proximal humerus fractures treated at department of orthopaedics of a medical college and tertiary care institute. Patients were treated with closed reduction and percutaneous pinning. Neer's functional assessment was used for post-operative functional assessment of these cases. Majority of the patients were from the age group of 41-60 years (50%), 56% were males while 44% were females. Most of the patients had right sided humeral fractures (62%). Commonest mode of injury in these patients was fall (68%), while rest of the patients (32%) had road traffic accidents. Majority of the patients (66%) required 10-12 weeks for union of fractures, the mean time of union being 10.63 weeks. 2 -Part Neer's type patients contributed 56% of the study population. 75% of the patients did not have any complication. Only one patient experienced failure of fracture healing, while most of the patients (56%) had excellent functional outcome.