Introduction: The use of locking compression plate in fractures of distal femur in our study seems to be associated with a good functional outcome and early recovery. The DF-LCP is a good implant to use for fractures of the distal femur particularly intra-articular type and osteoporotic fractures. Recent advances in technology for treatment of fractures distal end femur with locking compression plate become popular and has clear biomechanical advantages when compared with conventional plating and other method of fixation. When combined with minimally invasive surgical techniques, locking compression plate may cause substantially less iatrogenic tissue damage when compared with conventional plating. Locking compression plates offers multiple points of fixed-angle contact between the plate and screws, theoretically reducing the tendency for varus collapse that is seen with traditional lateral plates. The commonly observed complications of fracture distal end of femur are knee stiffness, implant failure and loss of reduction are minimal with it. Surgical exposure for plate placement requires significantly less periosteal stripping and soft tissue exposure than that of normal plates. Materials and Methods: This prospective study was conducted which included 30 patients with fracture distal end of femur (Extra & intra articular type A and C based on AO classification) treated with open reduction and internal fixation with distal femoral locking compression plate (DF-LCP) between November 2011 to October 2013 at in the department of orthopaedics, Govt. Medical college & associated MBS hospital, Kota and followed-up for a minimum period of 6 months. The patient's ages ranged from 18 to 78 with a mean of 42 years. The duration of follow up ranged from 6 months to 21 months. The clinical assessment was conducted at least 6 months post-operatively using the Schatzker & Lambert scoring system. Results: Result showed that 9 patients had excellent results, 17 good, 2 fair and 2 failures. Conclusion: The use of locking compression plate in fractures of distal femur in our study seems to be associated with a good functional outcome and early recovery and is a good implant to use for fractures of the distal femur particularly intra-articular type and osteoporotic fractures.

Background: Hip fractures are a growing concern for the orthopedic surgeons all over the world because the incidence of hip fractures is increasing dramatically and these fractures impose a significant challenge in their efficient management. Methods: It was a prospective study on 50 cases of proximal femoral fractures. The fractures were classified according to Seinsheimer classification. Salvati and Wilson Score were used for functional assessment. Results: According to Salvati and Wilson scoring system excellent results were seen in 80% of cases (40 patients), good results in 16% cases (8 patients), fair result in 4% cases (2 patients) and poor results in (0% patients). Conclusions: PFN is safe, effective and patient friendly device useful for the treatment of all subtrochanteric fractures irrespective of their comminution. Keywords: Proximal femoral nail, Subtrochanteric fractures, Proximal femur fracture

A bezoar refers to a mass of undigestible foreign material found in the gastrointestinal tract, mainly stomach. The second most common bezoar is the trichobezoar, which usually occurs in the young psychiatric female patients with history of trichotillomania and trichophagia. A 12-year-old female psychiatric patient came with complains of diffuse abdominal pain, vomiting, fever, and constipation. Ultrasonography and CT scan were done, which suggested trichobezoar. Thus, trichobezoar should be considered as differential diagnosis of abdominal pain in young psychiatric female patients. In the literature several treatment options are proposed, including removal by conventional laparotomy, laparoscopy and endoscopy. According to our experience and in line with the published results, conventional laparotomy is still the treatment of choice. In addition, psychiatric consultation is necessary to prevent relapses. We here report a case of 12 years old girl presented with complain of vomiting, pain and lump abdomen, loss of appetite and on laprotomy a large, approximately 156 cm trichobezoar was removed which was extending from stomach to ileocaecal junction. Trichobezoar, an underdiagnosed entity, has to be considered in the differential diagnosis of abdominal pain and a non-tender abdominal mass even in young children.

A four year old female Assam Hill goat was presented with profuse lacrimal discharge, corneal opaqueness and vision loss of the left eye. Detailed clinical examination revealed presence of ulcer and opacity over the corneal. The affected eye was managed with third eyelid flap technique. The goat was recovered uneventfully.