Background: Intertrochanteric fractures often result from trivial injury in the old age patient and is a fracture occurring outside the joint capsule. Calcitonin has been used to treat patients with hip fracture because it is a potent inhibitor of bone resorption. However, its role in decreasing pain intensity, promoting early mobilization and fracture healing is still under debate. Method: We conducted a placebo controlled prospective study over two years from 2018 to 2019 to assess the role of salmon calcitonin administered intranasally, in terms of analgesia and early fracture healing in 40 patients randomised into two groups. Group 1 given intramuscular calcitonin for 7 days followed by intranasal till 10 weeks while group 2 received placebo (Normal saline). Patients were followed up till 10 weeks post-operatively. The mean age was 50.5 years (range 32 years to 68 years) with 28 (70%) female and 12 (30%) male patients and the commonest cause of injury was fall from standing position (80%). Results: There was statistically significant difference between the minimum Rush score in Interventional group vs control group at 6th week and 10 th week (23 vs 18; 29 vs 23) and maximum score (26 vs 21; 30 vs 28). Similarly, intensity of the pain at 1 st , 6th and 10th week using WILCOXEN TEST was significantly reduced (p value <0.0001) in test group and control group (p value <0.0001). Similarly, inter-group comparison of intensity of pain as calculated by VAS score at 1st, 6th & 10th week using MANN-WHITNEY test showed that the interventional group had a lesser intensity of pain as compared to the control group (p value <0.0001) helping in early mobilization of the patients. Conclusion: Rate of fracture healing was faster showing early fracture union, complete consolidation of fracture, early disappearance of fracture line and reduced intensity of pain in calcitonin treated group, Hence, therapy of combined intramuscular and intranasal salmon calcitonin given post operatively is useful for early healing and repair of intertrochanteric fractures and offers immediate and lasting pain relief.

<p class="abstract"><strong>Background:</strong> The mini-open repair is considered to be the gold standard for rotator cuff repair. This study was aimed to assess functional outcome of mini-open rotator cuff repair of shoulder joint in adult patients<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> This was a one year hospital based prospective study conducted from January 2016 to December 2016. A total of 20 patients diagnosed to have rotator cuff tear of shoulder joint undergoing rotator cuff repair in the department of Orthopaedics, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, and KLES Dr. Prabhakar Kore Charitable Hospital, Belagavi were studied.<strong></strong></p><p class="abstract"><strong>Results:</strong> Majority of the patients (85%) of the patients was male and male to female ratio was 5.6:1. Most of the patients were aged between 31 to 40 years (30%). The mean age was 41.90±13.98 years. Most of patients had degenerative rotator cuff tear (45%) and (70%) presented with features of swelling. At enrollment all the patients (100%) had poor constant score (&gt;30) and fair/poor UCLA score (&lt;27) suggestive of severe pain functional restriction. There were gradual but steady increase in scores from enrollment to each follow up till six month follow up with respect to mean flexion (6.25±5.35 to 163.50±7.63),abduction (5.50±5.10 to 112.0±5.94),external rotation (3.00±4.7 to 82.50±2.56 ),internal rotation (2.50±4.44 to 67.25±3.43 ) and UCLA score (5.35±1.63 to 29.60±0.82 ) (p&lt;0.001) also there was gradual but steady decrease in mean VAS score from enrolment (7.70±0.47 ) to six months follow up (0.00±0.00) and constant score ( from 85.70±1.98 to 7.85±1.46 respectively) (p&lt;0.001). The constant score and UCLA score at six month follow up revealed excellent functional outcome<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> The mini-open rotator cuff repair of shoulder joint results in excellent functional outcome among adult patients with rotator cuff tear of shoulder joint especially after six month with no complications and complete pain relief<span lang="EN-IN">.</span></p>

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Background: Dislocation of the knee joint is one of the most under-reported orthopaedic emergencies due to its ability to undergo spontaneous reduction. It carries a high risk of involving the popliteal artery and peroneal nerve both acutely, or in the long term. Due to this catastrophic potential of the condition, it has been well established that it warrants prompt diagnosis and management. It may be secondary to ultra-low, low or high velocity trauma which makes every dislocation case unique due to involvement of different joint structures, capsule or fractures of the articulating bones. A broad spectrum of treatment modalities (both conservative and surgical) has been documented for this condition, with the latter showing better results across most studies. In developing countries like India, the nancial chasm is relatively bigger with a major chunk of the population unable to bear the cost of complete surgical management. Objective: To assess the functional outcome in patients with frank knee dislocations with multiligamentous injuries and vascular decit treated by a middle path regimen of an extended period of external xator and immobilization. Method: A prospective study was undertaken from January 2018 to July 2020 involving 10 patients with knee joint dislocations with vascular decit and multiligamentous injury, treated by an extended period of external xator application and immobilization. Fasciotomy was done wherever needed, in association with split thickness skin grafting. The assessments were made using Lysholm knee scoring scale (LKSS), International Knee Documentation Committee Scores (IKDC), range of motion (ROM), antero- posterior tibial translation (AP translation) and overall patient satisfaction on every follow-up. Results: The mean LKSS score was 78.3±6.23, mean IKDC score was 68.17±5.34, mean ROM progressively increased to 135.8⁰ with a mean extension lag of 2.2⁰, while the mean AP tibial translation was noted to be 9.16 mm. No poor result or complication was reported. Conclusion: The middle path regimen provides an affordable alternative for providing a stable knee to patients who are ill-affording and are expected to have a sedentary lifestyle, without indulging into rigorous activities