Introduction: Anterior cruciate ligament injury is quite common in young active individuals. Nonsurgical methods leads to early osteoarthritis and painful meniscal tears. There are variety of surgical methods from internal bracing with repair, auto grafts with bone patellar tendon bone, hamstrings, quadriceps tendon, quadriceps tendon bone and peroneus longus tendon and variety of allografts. One of the best among them is bone patellar tendon bone auto graft for anterior cruciate ligament reconstruction. Materials and Methods: A cohort of 16 cases were studied for a period of 6 months postoperatively for the functional outcome of arthroscopically assisted anterior cruciate ligament reconstruction with bone patellar tendon bone graft. Result: This study comprised of 16 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 bone patellar tendon bone graft has good functional results and high success rate.

37.8% of tibia fractures occur in the distal tibial region. Due to the poor soft tissue envelope and precarious blood supply in the distal tibial region, there is a very high incidence of complications like non-union, delayed union and wound dehiscence, with increased secondary procedure rate especially after implant failure. Literature review shows that there is no optimal treatment (implant) for the management of these fractures. Nailing provides lesser chances of wound dehiscence but fails in providing adequate stability. Compression plating provides increased complication due to bulky implants causing wound dehiscence. Some of it is offset by locking compression plate. Hence we decided to study which implant would be ideal to treat these fractures with the best functional outcome and low incidence of complications. This was a prospective study of 72 patients who had unilateral, displaced fracture of distal tibia. 41 patients where managed with intra-medullary interlocking nailing and 31 patients were managed with locking compression plate osteosynthesis. The incidence of complications was found to be higher in nailing when compared to that of plating. 2 of patients developed non-union in nailing. 4 of patients developed implant failure and required secondary procedures in nailing group when compared to 1in LCP group which was attributable to poor biomechanical construct. 25 age matched pairs of patients were selected from each group and were assessed with the help of modified Klemm and Borner scoring system. Based on this scoring system the results were analyzed for the study group. Patients in the locking compression plate osteosynthesis group yielded scores that were significantly higher than the nailing group and were found to be statistically significant with a p value of < 0.05. 76% had excellent results, 16% had good results and 4% had fair results in the plating group when compared to 24% excellent results, 40% good results, 20% fair results and 16% poor results in the nailing group. The results of current study show statistically advantageous for locking compression plate osteosynthesis when compared to close intramedullary interlocking nailing for distal third of tibia fractures. With decreased incidence of complications &secondary procedure in LCP group. Particularly in MIPPO with LCP group did much better as no secondary procedures were required. A multicentric study with large population is necessary to confirm this.

Vast number of children are born with congenital clubfoot every year. Incidence of CTEV being one per 1000 live births. Most of these are kids born in countries where they remain untreated or poorly treated reducing their quality of life. CTEV has been existent and known since time immemorial to mankind and so are the controversies it carries within itself. Many research has been done on these subjects and they all have contributed understanding the pathoanatomy and deciding upon the appropriate treatment. Still the literature states that treatment of club-foot is in general one of unvarying success. In our study we have recorded the functional outcome of serial cast correction of CTEV by Ponseti method.

The Posterior Cruciate ligament (PCL) is the stronger of the two cruciate ligaments of the knee. It is the primary constraint to the posterior tibial translation at 90º of knee flexion. PCL avulsion injuries are not uncommon in our country. We corrected such injuries with open reduction and internal fixation using Burks and Schaffe approach in 10 patients, followed up the patients adequately and reported their functional outcome in this study Keywords: Open reduction, internal fixation, Burks, Schaffer approach Introduction PCL injuries are estimated to account for 20% of knee ligament injuries. That incidence is higher especially in cases resulting from high-energy trauma, suchas in motorcycle and car accidents. However, in the presence of PCL bone avulsion from its tibial insertion, a consensus exists towards surgical intervention. Though there are controversies, most authors have recommended operative management of a displaced bony avulsion of the tibial insertion of the PCL. The surgical technique employed here consists of a posteromedial knee (Burks and Schaffer) approach, reinsertion and fixation of the PCL bone fragment into its anatomical bed located on posterior tibial surface and surgical fixation of the bony avulsion by 4mm cancellous screw .It has given almost uniformly excellent results, whereas non-surgical treatment has a significant incidence of morbidity in form of residual instability and early degenerative arthritis. Some orthopaedic surgeons are apprehensive about treating tibial avulsions of the PCL because of their unfamiliarity with the standard posterior approach to the knee and the potential for damage to the important neurovascular structures. Many series dealing with PCL injuries have followed the standard posterior approach through the popliteal fossa as described by Abbott, which is a complex approach requiring a meticulous and time consuming dissection of the neurovascular bundle in the popliteal fossa. Trickey described a modification of the above mentioned approach with the aim of decreasing the surgical dissection and time. However the medial head of gastronemius needed to be divided and the neurovascular bundle was still at risk due to its proximity. In Burks and Schaffer approach there is very minimal chance for neurovascular injury and safe exposure of the avulsed fragment. This procedure is reported as sufficient for reestablishing ligament integrity and function. To identify the results and gain further confidence about the surgical management of the avulsed PCL this study was conducted and found that Open Reduction & Internal Fixation through Burks and schaffer's approach can provide excellent outcome in the management of the avulsed PCL from tibial attachment.

Introduction:The selection of a prophylactic regimen involves a balance between efficacy and safety. Surgeons are particularly concerned about bleeding because it can lead to hematoma formation, infection, a reoperation, and a prolonged hospital stay. The selection of a prophylactic agent is also influenced by the more frequent use of regional anesthesia. Methodology: The total cases include 51 cases of total hip arthroplasties, 40 cases of knee arthroplasties and 10 cases of hip hemiarthroplasty. The indications for hip arthroplasties in this study include fracture proximal femur, avascular necrosis, secondary or primary osteoarthritis. Knee arthroplasties had been performed for either primary osteoarthritis or rheumatoid arthritis patients. A thorough detailed history regarding factors that influence DVT incidence had been elicited from all patients. Results: One hundred and one patients who underwent joint replacement surgery for various indications have been included in our study. There were 58 women and 43 men in our study. Eight patients in our study had sonographically proven deep vein thrombosis. Two among those had developed pulmonary embolism as a sequel to DVT. One patient had a fatal pulmonary embolism and died on the 6 th postoperative day Conclusion: Deep vein thrombosis is no longer to be considered a rarity among Indian patients.