IntroductionDisplaced fractures of the neck of femur in elderly patients usually require surgical intervention, with either bipolar hemiarthroplasty (BHA) or total hip replacement (THR). However, there is still controversy regarding the optimal prosthesis. The present study was performed to compare the functional outcome of BHA versus THR in elderly patients with displaced fracture of the neck of femur. Materials and methodsThis prospective study was conducted between December 2019 and December 2021. This study included 40 patients with displaced fracture of the neck of femur. All patients were more than 60 years of age. The patients were randomly allocated to be treated with either BHA or THR. Functional assessment was done using Harris hip scores at one month, three months, six months, and one year postoperatively. ResultsIn our study, at all follow-ups, the Harris hip score was found to be more in patients in the THR group than in the BHA group. In the BHA group, the mean Harris hip scores were 59. 95, 66.25, 68.80, and 75.70 at the follow-up visits at one month, three months, six months, and one year, respectively, while in the THR group, the mean Harris hip scores were 65.06, 69.40 72.50, and 78.19, respectively. ConclusionTHR is a better option as compared to BHA in the management of elderly patients with fracture of the neck of femur on account of less complication rates and higher Harris hip scores.

Introduction: Augmented external fixation and Open reduction with volar locking plate are two frequently used modalities in the management of intraarticular fractures of distal end radius. However, there is still controversy regarding the optimal surgical modality. The present study was performed to compare the functional and radiological outcomes of augmented external fixation (AEF) versus volar plate fixation (VPF) in the management of patients with intraarticular fractures of distal end of radius. This prospective study was done between December 2019 Materials and Methods: and December 2021. This study included 40 patients with intraarticular fractures of distal end of radius. All patients fulfilling inclusion criteria were randomly allocated into two groups. Group A was treated with an AEF and Group B with VPF. Functional assessment was done by measuring the wrist range of motion, hand grip strength and Mayo Wrist Score. The radiographic parameters included radial height, radial inclination, and volar tilt. Follow-up was done at 6 weeks, 3 months, and 6 months post-operatively. In our study at all follow-ups, the VPF group had a significa Results: ntly better Mayo wrist score and wrist flexion, wrist extension, forearm supination and pronation compared to the AEF group (p < 0.05). There were no significant differences in terms of hand grip strength and postoperative radiologic parameters (p > 0.05). VPF is a better surgical option as compared to AEF based on our short-term functional outcome Conclusion: in the management of patients with intraarticular fractures of the distal end of radius, on account of better wrist flexion and extension, forearm rotation and Mayo wrist scores, and fewer complication rates.

Background: Frozen shoulder or adhesive capsulitis (AC) is a common musculoskeletal disease which imposes significant morbidity and affects the quality of life. The present study was done to compare the effectiveness of the suprascapular nerve block (SSNB) under ultrasound guidance and hydrodistension in the management of AC. Materials and Methods: This prospective randomized control study was conducted in 60 patients visiting the Department of Orthopaedic Surgery, BARC Hospital, Mumbai, with AC not improving with physiotherapy. Patients were divided into Group A (n = 30) who received SSNB under ultrasound guidance in addition to physiotherapy and Group B (n = 30) who underwent hydrodistension of shoulder in addition to physiotherapy. Values for the ROM, Quick DASH score, and visual analog scale (VAS) score were obtained for each patient at the baseline and at 4, 8, and 12 weeks. Results: Female preponderance was observed in both the groups and overall 22% werediabetics. The difference in improvement in flexion, abduction, external rotation, and internal rotation from baseline to 12 weeks, 4 to 8 weeks, 4 to 12 weeks, and 8 to 12 weeks was higher in hydrodistension group as compared to SSNB group (p < 0.05). The decrease in the VAS and Quick DASH scores from baseline to 12 weeks was higher in hydrodistension group as compared to SSNB group (p < 0.05). Conclusion: Both SSNB and hydrodistension are useful in the management of AC. However, hydrodistension displayed better outcome as compared to SSNB in improving the functional outcome of patients.

Background: Displaced fractures of neck of femur in elderly patients usually require surgical intervention, either with bipolar hemiarthroplasty (BHA) or total hip replacement (THR). However, there is still controversy regarding the optimal prosthesis. The present study was performed to compare the functional outcome of BHA versus THR in elderly patients with displaced fracture neck of femur. Materials and Methods: This prospective study was done between December 2019 and December 2021. This study included 40 patients with displaced fracture neck of femur. All patients were more than 60 years of age. The patients were randomly allocated to be treated with either a BHA or THR. Functional assessment was done using Harris Hip Score at 1 month, 3 months, 6 months and 1 year post-operatively. Results: In our study at all follow-ups, Harris Hip Score was found to be more in patients of the THR group than in the BHA group. In the BHA group, the mean Harris Hip Score was 59.95, 66.25, 68.80 and 75.70, while in the THR group, the mean Harris Hip Scores was 65.06, 69.40 72.50 and 78.19 at the follow-up visits at 1 month, 3 months, 6 months and 1 year respectively. Conclusion: THR is a better option as compared to BHA in the management of elderly patients with fracture neck of femur, on account of less complication rates and higher Harris Hip Scores.