BACKGROUND Ender's nail fixation involves insertion of several nails of smaller diameter into a non-reamed medullary canal of a long bone. Fracture fixation is based on the principle of three-point fixation. It is a reliable technique of fixation in paediatric and geriatric age groups and also for pathological fractures. The present study was undertaken to study and evaluate clinically as well as radiologically. The role of Ender's nailing in various long bone fractures with regards to functional status of the patients, union of the fracture and postoperative complications. MATERIALS AND METHODS 18 patients of paediatric age group with various long bone fractures underwent operative management with flexible multiple Ender's nails. RESULTS All children achieved union in a mean time of 12 weeks. Limb length discrepancy was seen in one child. Migration of nails was seen in one child. Slight to considerable limitation of joint movements were seen in 4 patients. One patient required reoperation.

BACKGROUNDThe aim of the study is to review the functional and radiological results of patients after coracoclavicular ligament reconstruction using a semitendinosus tendon graft for type-III acromioclavicular dislocation. MATERIALS AND METHODSNine patients aged 21 to 50 (mean, 35) years with Rockwood Type-III acromioclavicular dislocation underwent coracoclavicular ligament reconstruction with autogenous semitendinosus tendon grafts. Patients were either active in sports or heavy manual workers. Assessments on shoulder function (using the Constant Score), wound size, pain (using Visual Analogue Scale), and reduction (using radiographs of both acromioclavicular joints) were made. RESULTSThe mean follow-up period was 18 (range, 12-24) months; the mean time to return to work or sports was 16 (range, 12-20) weeks. The mean constant score was 94 (range, 90-98). The mean donor-site scar size was 4 cm and the mean pain score was 0. No major complication or donor-site morbidity was noted. There was one wound dehiscence. CONCLUSIONCoracoclavicular ligament reconstruction using an autogenous semitendinosus tendon graft was safe in physically active patients having type-III acromioclavicular dislocation.HOW TO CITE THIS ARTICLE: Kare, SK, Murali Krishna CV, Sudheer T, et al. Coracoclavicular ligament reconstruction using a semitendinosus tendon graft with polyester suture no. 5 (ethibond) for type-iii acromioclavicular dislocation.