BACKGROUND Intertrochanteric fractures account for nearly 50% of all fractures of the proximal femur. These injuries commonly affect the elderly and they have a tremendous impact on the healthcare system. Intertrochanteric fractures comprise of fractures occurring in the region between greater and lesser trochanters. Despite marked improvement in implant design, surgical technique and patient care, intertrochanteric fractures remains to be a challenge. MATERIALS AND METHODS The present study consists of 60 patients with intertrochanteric fractures of femur who were treated with either DHS and PFN at Vijayanagara Institute of Medical Sciences, Bellary, during March 2014 to September 2015. Case were selected by simple random sampling, each individual is chosen randomly and entirely by chance. This study was carried out to compare the results of intertrochanteric fractures treated with DHS and PFN. All the 60 patients were asked to follow up at regular interval. RESULTS Full weight-bearing in PFN was 10.5 weeks and in DHS 14.50 weeks with P value >0.05. Duration of hospital stay 10.5 days in PFN 14.5 days in DHS. Delayed anatomical complications are external rotation in 1 case of PFN and none in DHS, shortening of >1 cm in 4 cases of PFN and in 10 cases of DHS, varus deformity in 5 cases of PFN and 4 cases of DHS. CONCLUSION PFN is better alternative to DHS in treatments of intertrochanteric fractures, but is technically difficult procedure and require more expertise compared to DHS.

BACKGROUND The knee joint is one of the major weightbearing joints in the lower extremity. Generally, these injuries fall into two broad categories, high energy fractures and low energy fractures. Fractures of the proximal tibia are the result of high energy injuries and because of lack of soft tissue coverage in this region. The majority of tibial plateau fractures are secondary to high speed velocity accidents and fall from height. Fractures result from direct axial compression usually with a valgus or varus moment and indirect shear forces. MATERIALSANDMETHODS The study was conducted between the period of October 2013 to August 2015 in Vijayanagara Institute of Medical Sciences, Ballari. 26 patients with diagnosis of proximal tibial fractures were treated with locking compression plate. All Schatzker's classification type 1-6 proximal tibial fractures in adults aged 18 years and above of either sex were included in the study. All patients were followed up. With each follow up, clinical and radiological examinations were performed at 6 weeks, 3 months and 6 months. RESULTS The study included26 patients, 25 males and 1 female aged from 21-80 years with mean age of 41.03 years. The average time for fracture union in our series was 16.61 weeks. In present study, knee stiffness was observed in 2 patients. Our study yielded excellent to good results in 80% of cases. CONCLUSION Displaced tibial plateau fractures are best managed operatively. Optimal knee function is achieved by accurate anatomical reduction and secure fixation followed by early mobilisation to attain functional arc ofmotion. For minimally-displaced fractures with minimal bone defects percutaneous fixation suffices, whereas for comminuted fractures, open reduction and internal fixation is mandatory. In our study, we found that proximal tibial locking plate provides complete union and early mobilisation to attain better functional outcome.

BACKGROUND Intertrochanteric fracture is one of the most common fracture of the hip especially in the elderly. The incidence of intertrochanteric fracture is rising because of the increase in number of elderly population along with superadded osteoporosis. MATERIALS AND METHODS Study included cases of unstable intertrochanteric fractures (AO and OTA Classification 31-A2 and 31-A3 fracture patterns) that were operated with the short trochanteric femoral nail, which fitted into the inclusion criteria done in medical college hospital,