Pelvic injury (PT) is perhaps the most intricate wounds in injury mind and happen in 3% of skeletal wounds. The point of this imminent investigation was to highlight utilizing percutaneous iliosacral screw obsession strategy in treatment of sacroiliac breaks or separation with exceptional reference to the actual procedure, its advantages, perils, impediments and difficulties. This is a planned report that will incorporate 20 patients of the two sexual orientations having SIJ disengagement fixed with percutaneous screw with a subsequent time of a half year postoperative. All patients have been evaluated radiologically by Plain radiographs X-beam Antero-back, horizontal, gulf and outlet perspectives on the pelvis. In the activity theater we need (C-arm X-beam unit) for imaging perspectives to keep away from blunders during ISS obsession of the crack. All patients were surveyed by Majeed scoring framework toward the finish of the subsequent period The general outcomes were considered as palatable in 16 (80%) patients; 8 (40%) were superb and 8 (40%) were acceptable and just 4 (20%) patients were unacceptable; 3 (15%) were reasonable and one (5%) was poor. Iliosacral screw obsession is an exquisite choice for balancing out the back sore which is basic wellspring of lingering pain.The component of injury doesn't appear to influence the clinical result of the patients engaged with this examination.

Although research is abundant and the biomechanical effects of various treatments on the hindfoot are well detailed, there is no clear agreement about the optimum technique or procedure to conduct in the case of flexible pes planovalgus foot deformity. This is a systematic evaluation to assess the impact on the existing published literature of idiopathic flatfoot lateral column lengthening osteotomy in teenagers. This review was conducted according to the 2015 PRISMA-P checklist (Preferred reporting items for systematic review and meta-analysis protocols). Twenty-one articles were evaluated against inclusion criteria by reading the entire text and seven papers were found. The mean AOFAS scores were 56.08 (range 23-78) while the mean AOFAS postoperative scores were 92.21 (range 34-100). Two studies that utilised criteria showed that Good/Excellent resulted in 72 percent (23/32 feet) and Fair/Poor, 18 percent (9/32) feet. Subjective and objective scoring were utilised for ACFAS, however only postoperative results were provided. Complications in 27 (16.5%) of 164 individuals have been recorded. Sural neuropathy, pseudoarthrosis, non-union, calcaneocubosis, metal irritation, and adhesion were frequent consequences. Child and young adults with lateral column lengthening surgical treatments for Pes planovalgus deformity had excellent, medium-term, clinical and radiological outcomes with high patient satisfaction and an acceptable degree of complication.

The management of the clavicular fracture still controversy between conservative treatment and surgical intervention. Also the methods of the surgical interventions have different variety between plates and screws, IMN and K wires. We review previous publications comparing the the different approaches and types of plates used in the surgical interventions with the aim of determining if any of the available interventions gives better outcomes compared to others. A systematic literature review of previous publications on the various techniques employed in the Management of clavicular fracture in adults by plating .We suggest that where the expertise is available, intervention by minimally invasive techniques should be preferred to the conventional open surgical approaches. If otherwise, the choice of operative technique should simply be based on the experience of the surgeon, the available facilities and equipment.

<p class="abstract"><strong>Background: </strong>The purpose of this Study was to evaluate the clinical and functional outcome of retrograde intramedullary nailing for distal femur fractures.</p><p class="abstract"><strong>Methods: </strong>This 2 years observational study was done between December 2018 to January 2021, 60 patients with distal femoral fractures were surgically treated at our hospital using retrograde intramedullary nail. The patient was placed supine on fracture table with affected limb flexed to 60 degrees. Through a Transpatellar approach, the nail was introduced in retrograde method after serial reaming. Postoperatively knee range of motion was started immediately and weight bearing was progressed after signs of fracture union were noted on x-rays. The outcome was evaluated for time taken for fracture union, complications and functional outcome with various types of fractures.</p><p class="abstract"><strong>Results: </strong>All the fractures in the present study healed at an average of 13 weeks. However 25 to 40% of these patients underwent bone grafting primarily with reports of delayed union and non-union. Shortening occurred in two patients (3.33%) did affect the final functional outcome. average range of motion is 120 deg. for all fractures, 119 deg. for extra-articular fractures and 118 deg. for intra-articular fractures. Infection rates are low (0% to 8%).</p><p class="abstract"><strong>Conclusions: </strong>The study shows distal femoral fractures were common due to high velocity injuries, retrograde nailing is an excellent technique for management of distal femoral fractures as it promotes high rate of fracture union with less complications.</p>