Introduction: Tennis elbow treatment is still remains a difficult task; the use of platelet-rich plasma (PRP) is a proactive therapeutic option that jump starts the healing process, which contains several different growth factors and other cytokines that stimulate healing of bone and soft tissue. Materials and Methods: This is a prospective study of 50 patients, done at GEMS and hospital, Srikakulam, India, for 2 years. The primary analysis included visual analog scale pain scale, for measuring pain in patients, local tenderness, pain on extension of the wrist, grip strength, elbow swelling were clinically assessed at different interval of follow-up, clinical and functional outcome were evaluated at final follow-up with statistics. Results: Results were calculated based on descriptive statistics with SPSS version 19. The average follow-up was 1.5 years. Results were excellent in 40, good in 6, fair in 1 and poor in 3. In two cases, there was superficial infection seen; in one nerve palsy; in three subjects pain worsened; and ended up in surgical intervention. Conclusion:Treatment with PRP holds promising results with minimal risk for the treatment of Tennis elbow. A more scientific evidence studies need to done before we can determine whether PRP therapy is effective in other conditions. PRP therapy as a viable procedure that may decrease the progression of more injuries may decrease the overall time for healing, and therefore, may setback the overall need for surgical intervention.

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<p class="abstract"><strong>Background:</strong> Tibial condyles with their articular surface forms major part of the knee joint, plays an important role in weight transmission and mobility. The proximal tibia fractures account for 1% of all the fractures. If these high velocity intra/peri articular fractures are not treated properly there will be high degree incidences of malunion, non-union, peri-op infections vs collapse of the medial condyle, ligamentous instability, malalignment of the axis, articular incongruity leading to post traumatic arthritis. Aim was to assess the anatomical reduction of articular surface of upper end of tibia and knee joint perfectly by operative treatment with internal fixation.  </p><p class="abstract"><strong>Methods:</strong> The study was done for a period of 1 years on 30 patients with bicondylar tibial plateau fractures diagnosed with Schatzker type V and VI. Age ranged from 20-60 years with majority being in 30-39 years range with a largely male preponderance. Patients were followed up to 12 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> Our study reported Honkonen Jarvinen clinical outcome to be 86% excellent, 11.7% good and 1.7% fair. The functional outcome was 81% excellent, 13 % good, 5% fair and 1% poor. The Radiological outcome showed 79.2% excellent, 12 % good, 0.70% fair results. Our study used Honkonen Jarvinen criteria for radiological, functional, clinical outcome which showed excellent to good result.  </p><p class="abstract"><strong>Conclusions:</strong> Dual plating is ideal for all bicondylar Tibial plateau fracture of Schatzker type V and VI with appropriate timing of surgery and understanding the anatomy, LCP system, appropriate technique with dual incision, the complication can be minimized, giving excellent to good results.  </p>

Introduction: Fractures of the femoral neck are common injuries occurring in the elderly population due to osteoporosis. They present a significant challenge to Orthopaedic surgeons because of the high rate of complications like nonunion, avascular necrosis, and associated comorbidities. Historically, Austin Moores prosthesis has served as an exemplary implant over the years in the management of intracapsular fracture neck of femur in older individuals. Our aim of the study is to asses postoperative function in these population and to validate the use of AMP in current Orthopaedic practice. Methods & Materials: This is a hospital-based cohort study. We did this study in thirty patients who had the fractured neck of the femur using Austin Moore Prosthesis, who are admitted to the Department of Orthopaedics in Great Eastern Medical School & Hospital, Srikakulam from Dec 2017 to Dec 2019. All patients were followed for twelve months. It is a patient-reported outcome study based on a questionnaire using a Harris hip score. Results: Harris hip score, which is the gold standard in the assessment of postoperative function in hip surgeries was used in this study. We graded the patients as excellent, good, fair, and poor depending on the functional outcome based on each criterion in this scoring system. The functional results were excellent in 50%, good in 23.3%, fair in 23.3%, and poor in 3.3% of cases. The poor results are due to moderate hip pain after surgery. The complication rate was low. Conclusion: Hemiarthroplasty with Austin Moore Prosthesis proved to be a good choice for the management of fracture neck femur in the elderly population with limited physical demand and low economic background. The mortality and morbidity are low; the operative procedure is simple with satisfactory functional results and fewer complications.