this series of patients, the acetabular reconstruction using 'Anatomic quadrilateral plate' has shown encouraging results. Conclusion: For stabilization of acetabular fractures involving quadrilateral surface area and pelvic brim, various new implants have been used. The Anatomic quadrilateral plate due to its anatomical shape, the various options in fracture fixation is best optimized for management of comminuted acetabulum fractures especially in poor quality bones. It has been successful in achieving good outcome in elderly group of patients having these complex injuries.

Background: Proximal tibia is one of the most critical weights bearing part of the human body. Fractures of the plateau affect knee alignment, stability, and motion. The present study was conducted to decide whether pre-operative CT scan significantly changes the line of action and plan of surgery, against simple digital radiographs, in managing fractures of the upper tibial condyles and hence should it be an essential investigation for treatment in proximal tibial fractures. Materials & Methods:The present cross-sectional, prospective study was conducted on 42 cases (males-37, females-5) of traumatic fractures of the proximal tibia. First opinion was taken on the basis of the X-ray alone and second opinion was taken after showing the CT scans. Results: There were 16 (38.09%) patients in age group of < / = 30 years, 17 (40.48%) patients in age group of 30-45 years, 8 (19.05%) patients in age group of 45-60 years and only 1 (2.38%) patient is the age group of 60-75 years. There were 02 (04.76%) patients diagnosed to have no fracture based on X-ray, 14 (33.33%) patients diagnosed as Schatzker's type-1, 02 (04.76%) patients diagnosed as Schatzker's type-2, 05 (11.91%) patients diagnosed as Schatzker's type-4, 13 (30.95%) patients diagnosed as Schatzker's type-5 and 06 (14.29%) patients diagnosed as Schatzker's type-6 based on X-ray alone. A total 12 cases were included in Schatzker's type 1. Management of 01 case was drastically changed, that of 03 cases had subtle changes and that of 08 cases remained unchanged. Plan of 01 case out of 04 included in Schatzker's type 2 was changed drastically, 02 underwent subtle changes while that of 01 was unchanged. Only 01 case was included in Schatzker's type 3. Its management underwent subtle change. 02 cases were diagnosed as type 4. Treatment of 01 underwent subtle change while that of 01 remained unchanged. Plan of 02 cases out of 06 included in type 6 were drastically changed. 04 had no changes. Conclusion: CT scan contributes significantly in management of proximal tibia fractures especially in Schatzker's type 1 and type 4. It reveals articular depressions and fracture fragments that are often obscured on X-rays. It helps surgeons to prevent dreadful postoperative complications.

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Introduction: Tibia is the most commonly fractured long bone in the body. Among the total tibial fractures, about 5-11% of fractures occur in the proximal one third of the tibia. Fractures of the proximal third of the tibial shaft, by virtue of being high-energy injuries, are less amenable to plating primarily because of soft-tissue problems, and plates delay weight bearing. External fixators can lead to pin-track infections and there are technical difficulties in preserving knee motion in these juxta-articular fractures. Hence, Interlocking nail remains as an option with benefits of load sharing, sparing the extraosseous blood supply, lesser chances of infections and avoidance of additional soft-tissue dissection, thereby minimizing the risk of postoperative complications. Also allows early joint mobilization and weight bearing with short hospital stay. Aim: To study the clinico-radiological and functional outcome of the patients with proximal one third tibial shaft fractures managed with interlocking nail. Materials and Methods:This Prospective Study consisted of 20 adult patients of either sex with proximal one third tibial shaft fracture managed by Interlocking Nail. Functional outcome was measured by the Johner and Wruh's Criteria. Twenty patients were followed for minimum 6 month with fracture healing time was 12-18weeks. Results: After the end of 6 months follow up most of the patients showed excellent results (12patients, 60%), 5 patients (25%) falls under good category, 3 patients (15%) showed fair results and none of patient showed poor results.The observations and results of present study were compared to other studies. Conclusion: Meticulous intramedullary nailing of fractures of the proximal third of the tibial shaft, using all current surgical principles and techniques, has excellent clinico-radiological outcome and is relatively safe. We recommend a nail similar to a Sirus nail, but with a more proximal bend of the nail and no dynamic interlocking screw hole.