Objectives: The objective of the study is to assess the efficacy of retrograde intramedullary interlocking supracondylar nailing and distal femoral locking compression plate in the management of distal femur fractures. Methods: The present prospective study consists of a total of 36 cases with extra-articular supracondylar fractures of the femur between the age group of 21–70 years. Participants were randomly allocated to group 1 treated with distal femoral locking compression plate fixation and group 2 treated with retrograde intramedullary interlocking supracondylar nailing technique. Post-operatively, all the cases were followed up in regular intervals to assess the functional outcome using the American Knee Society score. Results: Road traffic accidents (80.56%) were the most common cause of injury. The average surgical duration (108 min and 90.14 min), duration of fracture union (12.48 weeks and 11.08 weeks), and blood loss (339.8 ml and 236.6 ml) was better in the nailing group than the plating group, respectively. The overall outcome was comparable between the two study groups. Conclusion: The supracondylar nailing technique has better functional outcomes in terms of less fracture union time, less operative duration, and minimal operative blood loss. Supracondylar nailing technique was effective and better in soft tissue damage control.

Proximal humeral fractures account for 4-5% of all fractures. The optimal management of displaced fracture remains controversial. This study was designed to assess the surgical management of displaced fractures of the proximal humerus and its functional outcome. A total of 35 cases with displaced humeral fractures underwent surgical management above 18 years age were recruited. The clinical and radiological examination was conducted and post-operative assessment was done to evaluate pain, function and rotation of fractured location and radiological evaluation for fracture union. Majority cases were in between 51-60 years (34.2%) and 41-50 years (28.47%). Majority cases had fractures by road traffic accidents (62.8%) followed by falling injuries (31.4%) and by other causes (8.57%). 51.4% of cases had no pain, 28.5% cases had mild pain, 8.57% cases had pain with activity and 8.57% of cases had pain during rest. 82.85% of cases had excellent functional outcome, 14.28% of cases had moderate and 2.85% cases had a poor functional outcome. The overall outcome was excellent in 68.57% cases, good in 20% cases, moderate in 8.57% cases and poor in 2.85% cases. The Surgical approach in the management of displaced proximal humeral fractures had less pain, greater range of motion and less stiffness of fracture site. Functional outcome was better in 2 part fractures.