ABSTRACT:The fracture of the distal end of radius was first identified by Sir Abraham Colles. With the increase in high velocity trauma, there has been an observed increase in the incidence and fracture patterns of the distal radius. MATERIALS AND METHODS:We conducted a prospective on distal radius fractures with 132 patients. All cases of distal radius fractures were considered between the age group of 20 and 70 years. Frykmans classification was used to classify the fractures. The patients were followed up every three weeks following surgery.The patients were assessed subjectively and objectively using New York Hospital Wrist Scoring system. RESULTS: Our study showed that anatomical and functional results were excellent in 35.7% of the patients versus 25% of those patients treated by external fixation. 30.3% of our patients managed by internal fixation had good functional outcome at the end of one year follow-up versus 43.4% of them treated with external fixation. 25% of patients treated by internal fixation had fair results while 13.1% of the patients managed by external fixation had fair results. Poor results were observed in 8.9% of patients managed by internal fixation as compared to18.4% of them managed by external fixator. The fair and poor results were due to inability to maintain accurate articular reduction and congruity of the distal radius using the external fixator. Potential complications like pin tract infection and loosening could also be attributed towards poor scores while using external fixation. CONCLUSION: The incidence of complications and poor results in internal fixation are fewer when compared to external fixation in this study. Patients managed with buttress plating had better functional outcome and returned to their daily routine earlier than those patients managed with ligamentotaxis.

Fractures of the tibial shaft are important for the reason that they are common and controversial. The exposed anatomical location of the tibia makes it vulnerable to the direct blow and high energy trauma as a result of motor vehicle accidents, thus resulting in comminuted fractures, which are frequently open with significant loss of skin and soft tissues. Because of the high prevalence of complications associated with these fractures, management often is difficult and the optimum method of treatment remains a subject of controversy. MATERIALS AND METHODSWe aim to study all the cases with diaphyseal fractures of tibia in adults. We also wanted to study clinically and radiologically the incidence, causes, types and various types of management of diaphyseal fractures of tibia with special emphasis on Ender nailing. Finally, we compared our results of cases managed by different treatment methods. CONCLUSIONOut of the various treatment modalities, in our experience surgical management of diaphyseal tibia fractures has better functional outcomes compared to conservative management. The incidence of complications like knee and ankle stiffness and malunion are much lesser in surgical management compared to the patients managed conservatively. Out of the two surgical methods, patients operated with IMIL nails had better function and lesser complications.