Background:Lateral elbow pain is common with a population prevalence of 1%–3%. The study was a comparative trial to validate the efficacy of single injection of platelet-rich plasma (PRP) for tennis elbow as compared with single injections of triamcinolone and placebo (normal saline) over a short term period.Materials and Methods:Comparative trial with 3- and 6-month followup evaluated with visual analog scale (VAS) and facial pain scale (FPS). Our study included a total of eighty patients with unilateral or bilateral tennis elbows. The study population included patients between 20 and 40 years age group belonging to either sex with seventy unilateral and ten bilateral affections for more than 3-month duration. Patients suffering from elbow pain due to other problems or those who have received any form of injection were excluded from the study. One milliliter of 2% Xylocaine injection was given before injecting the proposed formulation under trial. VAS and FPS were used for scoring pain. Kruskal–Wallis test and Mann–Whitney U-tests were used for statistical analyses at 12 and 24 weeks.Results:Overall, 49 females and 31 males were included with thirty elbows in each group. Both the PRP and triamcinolone groups had better pain relief at 3 and 6 months as compared to normal saline group (P < 0.05), but at 6 months followup, the PRP group had statistically significant better pain relief than triamcinolone group. In the triamcinolone group, 13 patients had injection site hypopigmentation and 3 patients had subdermal atrophy.Conclusion:Over a short term period, PRP gives better pain relief than triamcinolone or normal saline in tennis elbow which needs to be validated over long term period by further studies.

INTRODUCTION: There have been many case series advocating the potential benefits of PFLCP for fixation of intertrochanteric fractures. But these studies are lacking in terms of guidelines regarding the type of fractures in which PFLCP has an upper hand over the gold standard implant that is the DHS. Moreover there have been very few control studies comparing these two implants. Therefore, we performed a case control study to assess: (1) If PFLCP offers better functional results and fewer complications than dynamic hip screws (DHS)? (2) Which kind of extracapsular femoral fractures would benefit from PFLCP fixation? PATIENTS AND METHODS: A total of 60 patients with intertrochanteric femoral fractures were recruited. Thirty patients underwent PFLCP fixation, and thirty patients underwent DHS fixation. Patient information, type of fracture, functional level (as assessed by Harris hip score), bone union, and implant complications were compared for the two treatment groups. RESULTS: The Mean duration for union in PFLCP group was 17 Weeks (12-24 weeks). The Mean duration for union in DHS group was 16 Weeks (12-28 weeks). Although there were better functional results (Harris Hip Score) in PFLCP group when compared to DHS group the difference was not statistically significant (P value= 0.06) in our study. The complications like fracture of the lateral cortex, shortening >2cm, rotational deformity, varus mal-union screw cut off phenomenon, plate lift off were more in DHS group when compared to PFLCP. CONCLUSION: We conclude that there was no major difference between DHS and PFLCP for stable intertrochanteric fractures and PFLCP is a better alternative in fixing osteoporotic and unstable intertrochanteric fractures. Further large case control studies are needed in this regard.

Introduction: Forearm fractures are one of the most common orthopaedic injuries in paediatric age group. Normal function is often achieved with closed reduction and casting. Loss of fracture reduction is the most commonly reported complication of forearm fractures. An important modifiable risk factor for fracture redisplacement is the quality of casting, which can be measured objectively by the use of casting indices. An attempt is made to validate the role of cast index in middle third fractures of both bones of forearm in children. Materials and methods: Patients in the age group of 2 to 12 years with fracture of both bones of forearm involving the middle third treated by closed manipulation and cast application were included in the study. An above elbow cast was applied in the emergency room after closed reduction in all patients. Cast Index, defined as ratio of inner diameter of the cast in lateral view to that in anteroposterior view was measured at the fracture site in all the radiographs.The mean Cast Index in nondisplaced and displaced groups were calculated and compared. Results: Thirty children with middle third fractures of radius and ulna were included in the study. At 1 and 2 week follow-up, all but 5 cases maintained acceptable reduction. The mean cast index in 25 cases which maintained reduction was 0.75 whereas that in the group with significant displacement was 0.84. Conclusion: Majority of paediatric forearm fractures are amenable to conservative treatment. Quality of casting as expressed by indices such as cast index is one of the indicators of satisfactory outcome following middle third forearm fractures when used as a measure of risk of redisplacement.