Stiffness of the knee after trauma and/or surgery for femoral fractures is one of the most common complications and is difficult to treat. Stiffness in extension is more common and can be reduced by vigorous physiotherapy. If it does not improve by physiotherapy, then Quadricepsplasty is indicated. Quadricepsplasty is the surgical procedure required to release the quadriceps muscle in order to improve the range of knee flexion. This procedure is indicated mainly for stiffness of the knee in extension. Thompson and Judet type of Quadricepsplasty are the most common surgical procedures described to treat knee stiffness, the former being more popular. We evaluated our results after Thompson's Quadricepsplasty and physiotherapy. The patient regained satisfactory functional range of motion after Thompson's Quadricepsplasty.

Introduction: Shoulder stiffness has been variously described as frozen shoulder, adhesive capsulitis and scapulohumeral periarthritis. It is commonly found disorder especially in patients with diabetes mellitus. Our aim is to compare the symptomatic and functional outcome of intra articular steroid injection as an out-patient procedure with shoulder arthroscopy for adhesive capsulitis of shoulder. Materials and Methods:The study was conducted by a single surgeon at a tertiary care hospital between October 2017 and May 2019. Total of twenty patients diagnosed with adhesive capsulitis were taken into the study. These patients were divided equally into two groups namely Intra articular injection group (IA) and Shoulder arthroscopy group (SA). The patients were followed by after two, six, twelve and sixteen weeks. They were assessed according to visual analogue scale (VAS) and Quick DASH (Disability of Arm, Shoulder and Hip). The results were analysed using SPSS software (Illinois, Chicago). P value ≤ 0.01 was considered to be statistically significant. Results: The VAS, and Quick DASH were found to be better and statistically significant in SA group as compared to IA group. Discussion: Arthroscopic capsular release when combined with biceps tenotomy, sub acromial decompression, manipulation under anaesthesia and peri articular steroid injection improves the functional outcomes of patients as compared with intra articular injection alone. Conclusion: Shoulder arthroscopy along with steroid injection provides better functional and clinical outcomes as compared with intra articular steroid injection alone.

Introduction: The management of chronic Rockwood type III, IV, V nad VI Acromioclavicular joint (ACJ) dislocation remains controversial. Good-to-excellent results can be obtained with nonsurgical management, however, surgical management of ACJ dislocation restores joint anatomy, thus avoiding obvious deformity and gives overall better outcome. Methods: In this prospective study ten patients (7 men, 3 women), with Rockwood type III (ACJ) dislocation, underwent coracoclavicular (CC) ligament reconstructive surgery using a palmaris longus tendon graft and tension band wiring across AC joint. All patients were evaluated clinically preoperative and at subsequent follow-ups using Visual Analogue Scale and Constant Murley Shoulder Score, and radiologically comparing Coracoclavicular distance(CCD) of injured to the normal side on preoperative radiograph, on the second day postoperative and at final follow-up. The mean follow-up was 12 months (range: 10-18 months). Results: At the final follow-up, the Visual Analogue Scale (mean 0.8) revealed a good to excellent clinical outcome. The mean Constant-Murley score was 93.4 (range 74-96). The difference in the CCD of injured side compared to the contralateral side was <5mm for 9 patients and between 5-10 mm for 1 patients at final follow up. Conclusion:This study concludes that Acromioclavicular joint reduction with tension band wiring and reconstruction of the coracoclavicular ligament using palmaris longus tendon autograft provides good functional outcome with satisfactory clinical and radiological results for Chronic AC joint injuries. However larger group case series is required to further evaluate this procedures outcome.