Worldwide osteoarthritis is the most common joint disorder. It results from mechanical and biological events that destabilize the normal processes of degradation and synthesis of articular cartilage chondrocytes, extracellular matrix and subchondral bone. These changes include increased water content, decreased proteoglycan content and altered collagen matrix, leading to the degeneration of articular cartilage. There is trend on rise to use platelet rich plasma to promote healing of the degenerated cartilage. The aim of the study was to evaluate whether the newer method i.e platelet rich plasma has any significant advantage. The study included a total of 50 cases with individuals ageing greater than 40 years. Patients without evidence of degenerative arthritis and with KL grade 3 and grade 4 were excluded from the study. At 1 month only 14% cases showed excellent, 68% cases showed and. 18% cases showed fair results. At 3 months follow up 16% cases showed excellent, 82% cases showed good and fair results were seen in 2% cases. No case had poor results. At 6 months follow up 16% cases showed excellent, 86% cases showed good and 6% cases showed fair results and no case had poor results. Platlet rich plasma is an excellent method of treatment in early osteoarthritis of knee.

BACKGROUND: Spondylolisthesis is a heterogenous disorder characterised by subluxation of a vertebral body in sagittal plane occuring frequently at l4-5 and l5-S1commonest being isthmic and degenerative variety. While majority are asymptomatic, a subset do produce pain with neurology. Complete decompression of roots is essential, as is the need for solid stabilization. Several fusion techniques were reported in literature like PLF, TLIF, PLF, ALIF On theoretical grounds, TLIF has been suggested to be safe and result in an improved outcome compared to other techniques. Data to support this view, are lacking. METHODS: A total of 21 patients (age range, 27-62 years) with adult isthmic and degenerative spondylolisthesis were operated. There were 8 males and 13 females with mean age of 46.8 pre-op and 2-year followup, pain (VAS) and functional disability were quantified by Oswestry Disability Index (ODI).Radiological union assessed with xrays by Brantigen and Steffee criteria. The global outcome was excellent in 90%.and 92% fusion. 2 patients presented motor deficit which did not recover. RESULTS: The follow-up was for 2 years. The mean VAS score for low back pain improved from 7.0 preoperatively to 2.1, as did the mean VAS score for leg pain from 6.7 to 1.4 and the mean ODI from 59.5% to 11.3%. CONCLUSION: TLIF does affect the 2-year outcome of surgical treatment of spondylolisthesis with decreased back pain and ODI's, with advantages of minimal thecal retraction, restored segmental lordosis and preserved posterior tension band.

BACKGROUND: Clavicle fractures are usually known for its conservative treatment, but for displaced middle third comminuted fractures (Robinson type 2B) plate osteosynthesis is a promising option. AIM: To evaluate the functional outcome of middle third clavicular fracture (2B1, and B2 Robinson classification) in 30 patients managed with Open reduction and internal fixation with plate and screw. METHODS AND MATERIAL: We performed a prospective study between Jan 2009 to May 2012 of 30 acute displaced comminuted middle third clavicle fractures in adults which were treated with plate osteosynthesis. There were 22 males, 8 females, the mean age of the patient was 35.6 years and 10 patients had associated injuries and average follow up was 18 month, minimum of 6 months. RESULTS: Union was achieved in 12-16 weeks. Post operatively 2 patients had superficial infection, 3 patients had scar hypertrophy, 3 Patients had hard ware prominence, no patients had hardware failure and none of the patients had deep infection. The average constant score was 96 and patients were relatively satisfied with the treatment. CONCLUSION: Plate Osteosynthesis for displaced middle third shaft fracture in adults gives excellent results.

BACKGROUNDThe term distal end radius refer to fractures beginning at proximal end of pronator quadratus and ending at the radiocarpal articulation. Various treatment modalities has been described, but every procedure has its own pros and cons.

Results: This study comprised of 25 patients and followed for minimum of 6 months. Success rate is 100 %, with 92% graded as excellent to good and rest 8 % with fair functional results. Conclusion: We conclude that Anterior Cruciate Ligament reconstruction with quadrupled semitendinosus graft has good functional results and high success rate.