To evaluate the functional and radiological outcome in medial compartment osteoarthritic knee treated with proximal fibular osteotomy as a new modality of treatment. Materials and Methods: Fifteen patients (10 men and 5 women, age range between 50-68 years) from May 2016 to May 2018 who had undergone proximal fibular osteotomy for medial compartment osteoarthritis knee were followed prospectively. Pre-operative and post-operative weight bearing scan gram obtained to analyse the alignment of lower limb (Femoro tibial angle) and ratio of joint space (medial/lateral joint space). Functional Outcome was assessed with American Knee Society Score (KSS) and Knee pain was assessed with Visual analogue scale. Results: At final followup the mean Femoro-Tibial angle and joint space ratio were 180.4 and 0.54 respectively. The limb alignment is corrected in few cases and joint space ratio is increased postoperatively. Mean Knee Society Score at final follow up was 75.13 which was higher than the mean preoperative score 52.5.Mean Vas score is reduced significantly up to 4(preoperative mean Vas score was 8). Conclusion:The present study demonstrates the proximal fibular osteotomy effectively relieves the pain and improves the joint function in the patients with medial compartment osteoarthritis of knee by shifting the mechanical axis. Conversion to total knee replacement or unicompartmental arthroplasty is also less complicated.

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Periprosthetic fractures of the femur after hip arthroplasty represent a difficult treatment challenge. The results of management of periprosthetic fractures have varied greatly due to factors such as bone quality, fracture pattern and method of treatment including non-operative measures, reduction fixation, or revision surgery. These treatments have historically been fraught with high incidence of complications, treatment failures and compromised outcomes. Despite these problems, surgical treatment has become the standard in treating the majority of periprosthetic femur fracture. This study was to assess the functional outcome of patient who underwent treatment for periprosthetic fracture following hip arthroplasty. It is a retrospective study of 20 patients, 12 male and 8 female, with average follow up was minimum of 8 months and maximum of 24 months. Patient who underwent treatment for periprosthetic fracture following hip arthroplasty and intraoperative periprosthetic fracture were included in this study. Medically unfit patients were excluded from this study. Revision long stem, locking plate, ss wire and cable graft. Outcome was analyzed functionally by harris hip score. Our study demonstrates good functional outcome in periprosthetic fracture with few complications. Keywords: periprosthetic fracture hip, harris hip score.

Introduction: Distal humerus fractures is a common fracture in elderly and young due to fall with direct impact over elbow. Bicolumnar plating by Posterior Approach provides excellent results in view of range of motion of elbow and stability. Materials & Methods: A total of 15 patients who were operated for distal humerus fracture with orthogonal (90-90degree) Bicolumnar plating by olecranon osteotomy approach / Triceps splitting approach was followed clinically and radiologically. Results: 9 months follow up of both clinical and radiological studies shows good union in distal humerus fractures radiologically and good range of motion and elbow stability. Conclusion: Bicolumnar orthogonal (90-90degree) plating in Distal Humerus fractures by Posterior approach provides excellent reduction and provides successful results in view of elbow range of motion and stability.