Introduction: Asymmetric bilateral hip dislocations are very rarely reported in literature. We report a unique case of asymmetric traumatic bilateral hip dislocation in a 34-year-old male, describing the management and post-operative complications. Case Report:A 34-year-old truck driver sustained injury to both his hips in a head on collision between two trucks while seated in the passenger seat. There was a delay in presentation at our institution as he was referred after 17 h of the trauma. After evaluation, he underwent closed reduction of both hips under intravenous anesthesia on the same day. The post-reduction assessment revealed a left-sided posterior wall fracture which was suspected due to the instability after reduction. Fixation of the fracture was done using two spring plates. The patient was followed up throughout his rehabilitation and thereafter when he resumed his occupation. Six months after the incident, the patient had pain-free, full range of motion of both hips. Three years after the surgery radiological investigations revealed changes suggestive of early avascular necrosis (AVN), however, the patient did not have any functional restriction. Conclusion: This is a case of bilateral asymmetric hip dislocation with left side posterior wall fracture. It is important to reduce the hip and also address the fracture as early as possible to prevent AVN. Keywords: Bilateral asymmetric hip dislocation, posterior wall fracture, Kocher-Langenbeck, avascular necrosis.

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Background: Knee osteoarthritis is a significant cause of functional restriction among the Indian population. In the initial stages when patients present with isolated medial compartment changes, the surgical options in the inventory are few. The scarcity of a simple yet cost-effective procedure has contributed to the growing popularity of isolated proximal fibular osteotomy (PFO) since its inception. This study aims to evaluate the outcome among patients who underwent PFO for symptomatic knee osteoarthritis. Materials and Methods: Fifty patients with medial unicompartmental osteoarthritis of the knee were treated with PFO from December 2017 to December 2020. Patient particulars and intra-operative parameters were recorded. The postintervention functional outcome was evaluated by comparing the preoperative Oxford Knee Score (OKS) with that reported postoperatively. Results: The mean age of the patients included in the study was 48.20 years, with a male: Female ratio of 1.8:1. Sixty-eight percent cases presented with Kellgren–Lawrence Stage III. The patients were followed for a mean of 18.18 months after the procedure. The preoperative, 1-month, 2-month, and 6-month OKS were 24.76 ± 2.63, 33.34 ± 3.84, 39.36 ± 4.65, and 43.02 ± 4.66, respectively. At 6 months postsurgery, 82% of patients were in the satisfactory functional score range (40–48). The most commonly observed complication was superficial peroneal nerve palsy. Conclusion: Despite the simple technique, PFO has been associated with good outcomes and lesser complications. Selection of patients and placement of the osteotomy site are crucial for the success of the procedure. The present study revealed that patients irrespective of their age, gender, or stage of the disease would benefit from the procedure.

Background: Fractures of the distal humerus continue to challenge surgeons due to their complex nature and the multiple options of fixation. The olecranon osteotomy approach is considered the gold standard, especially in those fractures with an intra-articular comminution, but is associated with complications. In selected cases, utilizing the triceps-on or paratricipital approach should allow adequate fixation while decreasing the incidence of complications. Methods: Patients with distal humerus fractures were treated with open reduction and internal fixation via the paratricipital approach. All patients were evaluated based on their preoperative and intraoperative parameters. Postoperative rehabilitation was implemented and the functional outcome was assessed based on the range of motion and Mayo Elbow Performance Score. Results: The current study encompassed thirty patients with a mean age of 47.5 years. AO/OTA C1 type fracture was encountered in 13 patients. The mean operative time was around 90 min. The mean elbow flexion at 2 months was 127.5°. Union was achieved in all patients, and one patient had surgical site infection. Conclusion: Metaphyseal and simple inter-articular fractures may be adequately visualized and managed with the above approach. Early rehabilitation allows faster return to normal function.