Background: Septic Arthritis occurring in infants necessitates early diagnosis and management to prevent irreversible joint destruction. Although Staphylococcus aureus is the commonest cause of pyogenic Septic Arthritis, it is important to identify the specific pathogen in order to start appropriate antibiotics. Salmonella induced Septic Arthritis is relatively rare in an immunocompetent child. Case presentation: In this case report we would like to present a case of salmonella induced Septic arthritis in an otherwise healthy one year old infant. Conclusion: Salmonella induced Septic arthritis cannot be ruled out especially in places where Enteric fever is endemic.

Background: Various retrospective and some prospective review of fenestration disc Surgeries are available. The results of these series vary greatly with good results ranging from 46-97% and re operation rate of 9%. The need for this study is to evaluate the results of fenestration discectomy for Lumbar disc prolapse, with regard to patients post-operative subjective evaluation of low back pain and radicular symptoms, the objective physical findings and the complications. Method: Thirty cases of lumbar disc prolapse treated with fenestration and discectomy satisfying inclusion and exclusion criteria treated in P.E.S. Institute of Medical Sciences and Research, Kuppam, Andhra Pradesh were studied. Japanese Orthopaedic Association Low Backache score was used to assess the outcome, pre-operative and post-operative scores were taken and the rate of improvement in terms of percentage was calculated. Results: In our study we achieved 86% excellent to good results, 10% of fair results with a complication rate of 3.3% only. The results were comparable to other studies. Conclusion: There are many new techniques for treatment of lumbar disc prolapse but conventional standard discectomy through a fenestration is still the most acceptable method today. Various studies have shown 91% of patients had excellent, good and satisfactory outcome. 9% of patients had moderate and poor categories of outcome. Keywords: fenestration, discectomy, lumbar disc prolapse IntroductionHumans have been plagued by back pain since the beginning of recorded history. Back pain is now appearing as a modern international epidemic. Upto 80 % of people are affected by this symptom at some time in their lives. Impairments of the back and spine are ranked as the most frequent cause of limitation of activity in people younger than 45 years by the national center for health statistics. Intervertebral disc disease and disc herniation are most prominent in otherwise healthy people in the 3rd and 4th decades of life, it accounts for a majority of cases of low backache seen by an orthopaedician in clinical practice and is a major contributor of functional disability.

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Tibial plateau fractures are complex intraarticular fractures that usually have a variety of fracture patterns & associated ligament injury. Concomitant ligament injury is one of the major problem & is easily missed because of the nature of fracture configuration. This is a case report of a patient with medial tibial plateau split depressed fracture who underwent ORIF & Plating with Bone Substitute.