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<p class="abstract"><strong>Background:</strong> Management of unstable trochanteric fracture in elderly patients is challenging due to poor bone quality. Fracture stabilization and early mobilization is very important in preventing the complications. Fixation of the fracture with proximal femoral nail and dynamic hip screw has its complication and it takes time to mobilization of the patient after consolidation of fracture. Cemented bipolar hemiarthroplasty in osteoporotic unstable comminuted trochanteric fracture helps in early mobility and reduces complications.</p><p class="abstract"><strong>Methods:</strong> We prospectively analyzed 20 cases of cemented hemiarthroplasty in unstable intertrochanteric fractures. The functional outcomes were assessed based by Harris hip score.<strong></strong></p><p class="abstract"><strong>Results:</strong> The functional outcome measured with Harris hip score is excellent to good in most of the patients.</p><p class="abstract"><strong>Conclusions:</strong> Primary cemented hemiarthroplasty in unstable trochanteric fracture in elderly results in early ambulation with good functional outcome.</p>

<p class="abstract">Treatment of acromioclavicular (AC) joint separation is controversial. Rockwood type I, II, III AC joint injuries generally treated conservatively. In the literature there is various treatment options described for treating type IV - VI injuries with good and poor outcome but no single gold standard method. Rockwood type IV - VI AC joint separation treated with internal splint technique by passing Merselene tape through drill hole at lateral end clavicle, passing it under coracoid process and tied it after reducing vertical displacement of AC joint. Simultaneously horizontal displacement corrected and Merselene tape passed through drill hole of acromian process and tied. Endobuttn supports Merselene tape at superior aspect of clavicle. This study was conducted between April 2015 to March 2019 in KPC Medical College and hospital, Kolkata after taking ethical committee permission. 20 patients undergo surgical fixation of type IV-VI AC joint separation within 3 weeks of injury. Outcome of clinical and radiological parameter assessment was at 6, 12, 24 weeks. Male female ratio was 7:3. Mean age 38.2 years, abduction was less than 100 degree in 2 patients at 6 months follow up due to inadequate compliance to physiotherapy. Other patients develop full Range of motion (ROM) and power of shoulder muscle 5/5. No cosmetic deformity except one painful scar. No postoperative displacement in alignment in Anteroposterior (AP) and axillary lateral view. This technique of interal spilint construct reduces need for rigid implant and biological procedure for acute AC joint dislocation though having excellent fixation strength, good reduction in both coronal and sagittal plane for proper healing of AC and Coracoclavicular (CC) ligaments.</p>

<p class="abstract"><strong>Background:</strong> Vitamin D insufficiency prevalence has been related to low bone mineral density (BMD). However, controversial results have been reported for the relationship between serum 25-hydroxyvitamin D [25(OH)D] levels and BMD. This study was done to investigate whether serum 25(OH)D levels were associated with BMD in different age group and sex link population.</p><p class="abstract"><strong>Methods:</strong> This study involved, aged 40-70 yr, who is consecutively selected from KPCMCH, BMD camp. BMD was measured at the lumbar spine and femoral neck. The correlation between serum 25(OH)D levels and BMD was investigated.<strong></strong></p><p class="abstract"><strong>Results:</strong> Vitamin D levels for healthy and patients individuals at hospital. The age of 40 healthy subjects ranged from 40 to 70 years with the average of 55.30±10.30 years and body mass index (BMI) ranged from 18 to 37 kg/m², with the of average of 28.90±5.20 kg/m². Comparison between healthy and patients based on BMI and vitamin D level for the overweight BMI healthy individuals was 29.78±9.40 ng/ml, and that of hyperlipidemic patients was 24.47±8.78 ng/ml.</p><p class="abstract"><strong>Conclusions:</strong> In this study, there is significant different between healthy and patients group in vitamin D₃level.BMD significantly decreased in patients group more elderly.</p>