A prospective study to find a correlation between the severity of clubfoot and the number of casts required for the correction was conducted. The relationship of early relapse with the severity of the deformity was also studied. A total of 42 infants (61 feet) with primary and idiopathic clubfeet were included in the study. Previously treated and clubfeet due to secondary causes were excluded. All clubfeet were treated by the Ponseti method, and the Pirani score, Dimeglio score and Foot Bimalleolar (FBM) angle were taken at presentation and before every casting and at 6 months of follow-up. The average age of the child at presentation was 24 days, the average initial Pirani score was 4.172, the average initial Dimeglio score was 14.36 and the average FBM angle was 63.87 degrees. The average number of corrective casts given was 5.08 (range 2-8). The regression analysis showed a low correlation between Pirani and Dimeglio scores with the number of casts. There was no correlation between FBM angle and casting. Eleven of the 61 feet had a relapse (18%). Ten of 11 relapsed feet had a midfoot Pirani score of equal to or more than 2. The regression analysis shows a low correlation between Pirani and Dimeglio scores with the number of casts. There was no correlation between FBM angle and casting. Midfoot score equal to or more than 2 is a significant risk factor for relapse.

Background Radial neck fractures in the pediatric population represent up to one percent of all pediatric fractures. Judet type III and IV radial neck fractures present difficulties in closed and open reduction. The Metaizeau technique has been used as a tool to reduce these. We present a case series of 17 patients with Judet III and IV type of radial neck fractures treated with a modified Metaizeau technique. Materials and Methods Seventeen patients, eight male and nine female with Judet type III and IV radial neck fractures over a two-year period were managed with modified Metaizeau technique as described in the text. The follow up period in our Prospective Interventional study was of six months The outcomes were scored using the Mayo elbow Performance score. Results Fourteen patients had excellent scores, and three had good scores. Union rate was 100%. Fourteen patients were managed with closed reduction using the modified Metaizeau technique. Three patients required additional Open reduction, out of which one had reduced ROM as an outcome at the end of six months. Conclusion The modified Metaizeau technique is an extra articular, easy to learn procedure with good to excellent results in Judet type III and IV radial neck fractures.

Segmental femoral neck fracture (a combination of subcapital and intertrochanteric femoral fracture) is rare. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] We present a rare case of a 72 year old morbidly obese patient with an ipsilateral displaced fracture of intracapsular and Intertrochanteric femoral neck fracture.