Background: Diaphyseal fractures in children are among the most common major paediatric injuries treated by orthopaedic surgeons and account for approximately 1.6% of all fractures seen in this population. Peak incidences occur at 2 & 17 years of age in bimodal distribution and boys have 2.6 times greater incidence than girls. The aim of this study is to evaluate the results of operative treatment of paediatric diaphyseal fractures in the age group between 5 to 12 years using titanium elastic nails (TENs). Material and Methods: This is a Prospective Study based on patients admitted with Diaphyseal Fractures in Long Bones in the age group of 5 years -12 years in the Department of Orthopaedics, government general hospital attached to government medical college, Nizamabad, study was conducted between March 2016 to March 2017. Results: In the age group 5years to 8 years there were 14 (47%) and 9 years to 12 years there were 16 patients (56%). In our study the fracture was transverse in 15 cases (50%), short oblique in 7 cases (24%), spiral in 6 cases (20%), segmental in 1 (3%) and comminuted in 1 case (3%).

No abstract

<p class="abstract">Ganglionic cyst most commonly occurs in hand and wrist. When it presents in uncommon location like in lower limb, it causes a diagnostic dilemma. One such case is ours, an uncommon presentation of intra muscular cystic ganglion of rectus femoris. Due to its unlikely presentation in rectus femoris, diagnosis and management was delayed. A 12 years old boy presented with complaints of pain and swelling over left lower limb in suprapatellar region. On radiographic and ultrasound examination, swelling was found to be cystic lesion in rectus femoris. Histopathological examination of biopsied specimen was found to be intra muscular ganglion cyst of rectus femoris. The patient’s general condition improved with betterment in laboratory parameters, resolution of the lesion, without any sequelae, no residual deformity and excellent clinical outcome. To consider cystic ganglion as differential diagnosis, along with intra muscular myxoma, lipoma and synovial cyst in patients with lower limb intra muscular swelling.</p>

No abstract

Introduction: Knee is a major weight bearing joint of the lower limb consequently any fractures involving the proximal tibia will definitely compromise the knee function and stability. They account for only for 1% of all fractures and 8% of fractures in the elderly1.Fractures of proximal tibia have always been difficult to treat because of the subcutaneous location of its anteromedial surface. These days significant attention has been paid to the condition of soft tissue envelope. With the advent of newer implants and minimally invasive techniques, complex tibial plateau fractures which were once considered difficult to treat, are now having successful outcomes. Aim: The aim of the present study is to evaluate the results of Surgical Management of tibial plateau Fractures with Locking Compression Plate. Methods: A prospective study was done on thirty patients of proximal tibial fractures treated by locking compression plate in Orthopaedic Department of Mediciti institute of medical sciences, Medchal. Duration of study was from October 2017 to March 2019. We included patients of both the genders from 18 to 70 years of age, those were treated with locking compression plates for intra-articular and extraarticular fractures of proximal tibia. However, type II and Type III open fractures (Gustilo Anderson), pathological fractures and patients with severe comorbidities were excluded from the study. Ethics committee approval was obtained. Informed written consent was taken. Data was collected from the patients. Results: Majority of the patients with Tibial plateau fractures i.e., 8 patients (40%) were in the age group of 30-39 years. The youngest patient was 19 years and oldest patient was 58 years. Mean age in this study was 34 years. Road traffic accident was the cause for this fracture in most of the patients. All our patients were operated under spinal anesthesia with LCP for Tibial plateau fractures. MIPPO approach was used in 14 patients and open reduction was done in 6 patients. 14 patients (70%) were placed a single plate and 6 patients (30%) were done dual plating. In 1patient (5%) delayed union occurred.15 patients (75%) had excellent functional outcome, good functional outcome in 3 patients (15%) and fair functional outcome in 2 (10%) patient. Conclusion:From this study, we concluded Tibial plateau LCP system is an exciting new method of osteosynthesis for complex tibial plateau fractures allowing early mobilization and good functional outcome with limited number of complications.