Covid-19 has shocked the world and forced almost all the countries to a dumbfounded state. This virus has minimised the movement of humans, showing changes like never seen before. Positive effects have already been seen in nature and wildlife in the form of pollution control. The adverse effects of lockdown are seen as economic collapse. In this study, all the trauma patients coming to Acharya Vinobha Bhave Rural Hospital, Wardha were included irrespective of their age and mode of trauma. Period of two weeks before and two weeks after the initiation of lockdown in India from 23rd march 2020 have been taken into consideration. Both the outpatient and emergency patients were included in our study. We have observed a significant fall on overall trauma cases as expected due to the lockdown. There was a fall in the total number of cases by around three times. Our study showed that the demography of geriatric trauma, which remained almost the same and nearly all of them were old age females. Low-velocity trauma has shown an increase after lockdown from 42% to 64%, while the total numbers of cases are still less as compared to before the lockdown. High-velocity trauma cases have been reduced from 52% to 31% after lockdown, which indicates less road traffic-related injuries. During the lockdown, however, we have seen a significant fall in head neck and face trauma when compared to the upper limb and lower limb trauma.

Introduction: Electric injury of severe nature causing death is known as electrocution. Surviving patients may develop short term or long-term effects on various organs including gangrene, slow necrosis of tissues, neural and psychiatric problems. Case report: A 27 years young male got electric injury accidently, leading to gangrene of left forearm & hand and multiple site slow progressive death of skin requiring below elbow amputation of left upper limb, repeated debridement and management by skin grafting and trans-positional flaps. He did not develop any systemic, neural or psychiatric abnormality. Clinical message: Electric injury patients should be observed for slow development of soft tissue and muscle necrosis even if they don't have any obvious problem on early examination.

Tuberculosis is a common bacterial infection that mainly affects the respiratory system; however, it can involve other structures such as lymph nodes, pericardium, pleura, central nervous system, gastrointestinal system, and skeletal system. Skeletal tuberculosis is secondary to pulmonary and abdominal tuberculosis. Skeletal involvement generally involves the vertebral column, hip, and knee joint. Tuberculosis of small peripheral joints is an uncommon entity. In this report, we report tubercular arthritis of the wrist joint in a 40-year-old female patient who presented with swelling and pain in the wrist joint.

Various modalities available for the treatment of AVN range from conservative modalities like observation and non-weight-bearing mobilization, various pharmacological agents like Bisphosphonates, Enoxaparin are shown to be useful in some studies, Hyperbaric oxygen therapy to Surgical modalities like femoral head preserving procedures (core decompression with or without additional procedure, i.e. bone grafting, biologic adjuvants – Platelet Rich Plasma, Stem cells etc. and rotational osteotomies) and replacement surgeries. 20 patients of Early AVN who met inclusion criteria and operated with core decompression and PRP infiltration were included in this study. Out of 20 patients, 2 patients (10%) had superficial infections which healed on its own without any intervention, 5 patients (25%) had restriction of movements and 3 patients (15%) required replacement surgery. The mean pre-operative Harris Hip Score of our study was 64.3, and the mean post-operative Harris hip score of our study was 80.2. Out of 20 cases, 6 patients (30%) showed limitation of the progression of the disease, 3 (15%) patients progressed to the further stages of the disease and 11 patients (55%) had remission of the disease. The final outcome, on the basis of Harris Hip Score in 5 patients (25%), was excellent, 7 patients (35%) was good, 5 patients (25%) was fair, and in 3 patients (15%) was poor. Our study concludes that Core decompression along with PRP infiltration can be used as a good alternative for or in addition with traditionally performed core decompression and bone grafting.

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