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Background: The management of distal end radius has undergone an extraordinary evolution over the preceding twenty years. The technical advance of palmar locking plating has again changed the management of this fracture in a real and seemingly permanent way. Perhaps most importantly it is becoming increasingly apparent that operative intervention needs to be customized to the patient, fracture and expertise of the surgeon. Materials and Methods:The study is hospital based prospective study centered in R.L. Jalappa Hospital from November 2013 to April 2015 between which thirty patient patients with intra articular distal radius fractures are treated with locking compression plate and screws. Results: Patients were regularly followed-up post-operatively. Thirty cases were available for follow up. Excellent results were seen in 20 patients, good results in 5 patients, fair results in 3 patients and poor results in 2 patients. Conclusion: Open reduction and internal fixation with locking compression plate and screws gives better functional and anatomical results in intra articular distal radius fractures. The successful use of locking compression plate for intra articular distal radius fractures requires careful assessment of fracture pattern, appropriate patient selection, meticulous surgical techniques, appropriate choice of fixation, screw size, judicious augmentation with internal fixation, careful post-operative monitoring and aggressive early institution of rehabilitation. The final functional result of treatment not only depends of on anatomical reduction but also depends on surrounding soft tissue injuries and early mobilization.

The hip allows mobility of the entire extremity in 3 planes. Therefore any little derangement in the anatomy of the hip can affect it's functioning and can cripple & severely affect daily living of the person. The most common causes of disability are trauma and degenerative disease, and till date the most successful2 treatment for joints severely damaged has been replacement by artificial parts. Today replacement arthroplasties are very commonly performed by orthopedic surgeons the world over. In India too this procedure has gained wide acceptance among both surgeons and patients. The primary goal of this procedure is to restore normal anatomy of the hip joint so as to provide painless free mobility with a stable hip, and immediate functional outcomes of this procedure are very satisfactory. Technically there is little debate that the results of revision procedure are less satisfactory and the primary THR offers the best chances of success. Therefore it would be rational to assess and eliminate the human/iatrogenic factors that would-be influencing and jeopardizing the longevity of the implant since such surgeries in Indian patients are mostly once in a lifetime job. Also since the indications of arthroplasty have expanded and more surgeries are being done, so there is a statistic increase in the percentage of loose implants, which ever the reason. Although definite evidence and impact of loosing manifests late but the parameters reflecting the causative factors can be detected early in the form of altered anatomy and function. And repetitive cyclical loading of the implant in an unfavorable mechanical environment will over time, ultimately build up to a negative result.

Objective: To assess functional outcome of infiltration of platelet rich plasma (PRP) in delayed union of long bones. Design: Prospective clinical study with 6 months of follow-up. Methods: Clinically proven 25 patients of delayed union were included in study according to inclusion and exclusion criteria after getting written and informed consent, treated by autologous PRP infiltration thrice 4 weeks apart, evaluation done clinically as well as radiologically (At baseline and 6 month interval). Results: Out of twenty five patients, union was achieved in 22 patients (88%) at the end of six months, 2 cases progressed to non-union and one patient was lost for follow-up. Conclusion: Platelet rich plasma infiltrated locally is effective in the treatment of delayed union of long bone fractures.

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