<p class="abstract"><strong>Background:</strong> Deep vein thrombosis (DVT) and pulmonary embolism (PE) can occur in patients after elective total hip arthroplasties (THA). Indian population appears to have low incidence of DVT and PE in comparison with Western population due to difference in ethnicity, genetic make-up, social life styles. The study intends to find the incidence of symptomatic DVT and PE in postoperative THA patients. The aim of the study was to study the incidence of symptomatic DVT and PE, in post-THA patients in Indian Population.</p><p class="abstract"><strong>Methods:</strong> Retrospective study conducted from 1^st January, 2017 to 31st July, 2018 in BIRRD (T) Hospital. All patients who underwent THA are included, after fulfilling inclusion and exclusion criteria. Patients were evaluated for symptoms during the hospital stay and after discharge for 3 Months.<strong></strong></p><p class="abstract"><strong>Results:</strong> Total number of patients who had THA were 447 (n=447). The symptomatic DVT was found in 1 (n=1) patient. He developed DVT (n=1) during the study period, in first 48 hours postoperatively and recovered with ICU management. The same patient showed symptoms of PE but recovered fully. All patients were on a prophylactic regimen.</p><p class="abstract"><strong>Conclusions:</strong> Our results suggest incidence of DVT and PE are low in the Indian population with a prophylactic regimen.</p>

Introduction: Proximal femur fractures account for mortality and morbidity in elderly population. Postmenopausal women, decreased physical work in urban population, estrogen deficiency can cause osteoporosis in Indian population. Osteoporosis can result in proximal femur fracture. Decreased oseoblastic response, in elderly population results in osteoporosis. Here by we intend to find the correlation between cortical thickness Index and type of fracture in proximal femur. Null Hypothesis: Cortical Thickness Index cannot determine the type of proximal femur fracture Materials and Methods: A retrospective study was carried out, over a period of 2 months. All patients admitted into hospital with proximal femur fractures into hospital were included into study. Radiological evaluation of Singh's Osteoporosis Index Grading, Cortical Thickness Index (CTI) in anterior-posterior (AP), and canal calcar ratio were calculated. Results: 100 patients were included into study. 45 females and 55 males were present. Average age of patients in the study was 71 years. 31 Intracapsular (Neck of Femur) and 69 extra capsular (Intertrochanteric and Sub trochanteric) fractures were found. Average CTI (AP) was 0.53, and canal calcar ratio was 0.63. Conclusion:There exists a Negative correlation exists between CTI (AP) and CC Ratio. Null Hypothesis remains rejected.

<p>Exostosis is benign tumor. Osteochondromas are benign metaphyseal osseous growths occurring in long bones of body.  They contain cartilaginous cap which are present before closure of physis plate. Growth of these structures ends with physis fusion. Being benign in nature, they don’t require any surgery. Unless and until they cause compression symptoms on nerves and blood vessels, difficulty in movements of joints, and patients request for cosmetic appearance. Here by we present a rare case of 19 years old male patient with right foot exostosis. The same patient has multiple Exostosis in bilateral ankle, knee and humerus but without any family history. Exostosis was found on plantar aspect of foot, which made it difficult for him to walk. Surgical excision was done. Pre, per and post-operative period was fine. Patient was able to walk normally thereafter. There was no recurrence of growth thereafter.</p>

<p class="abstract"><strong>Background:</strong> Distal humerus fracture are complex, difficult to reduce and fix, cumbersome post-operative mobilization, and yet functional outcome is doubtful. Though various treatment modalities available for past many decades ranging from conservative management, K wire fixation to plate and screws, but still treatment remains difficult. The objective of the study was to assess functional outcome of operative fixation of distal humerus with locking plate and screws.</p><p class="abstract"><strong>Methods:</strong> Prospective study was done in during November 2015 to June 2016 in Vydehi Institute of Medical Sciences and Research Centre, Bengaluru. Patients with distal humerus fractures who were admitted into hospital for operative treatment after fulfilling inclusion and exclusion criteria were included into study. They were followed up to 6 months post-operatively. Functional outcome evaluation was done with Mayo’s elbow performance score.<strong></strong></p><p class="abstract"><strong>Results:</strong> 30 patients were included into study with full data. We had excellent, good, fair and poor outcome in 17, 8, 3, 2 patients respectively. Except for infection in one, elbow stiffness in two and non-union in two patients, we had no other complications.</p><p class="abstract"><strong>Conclusions:</strong> Management of distal humerus fractures with preoperative evaluation, pre-operative planning, use of locking plate and screws, early mobilization can result in good functional outcome.</p>