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Introduction: The Rapid industrialization & growth of the modern infrastructure resulted in need for a speedy transport system. Improper roads & increased traffic have been accompanied by increase in the number & severity of fractures & those in the upper part of tibia are no exception. Result: Study of 30 cases with Tibial fractures.30 cases were treated surgically were followed up & compared to Schatzkers study series conducted in university of Toronto. 8 had excellent, 18 good & 4 had fair or nil poor results. Conclusion: Tibial plateau fractures in this study series have all united inspite of deep infection in 2 cases & loss of reduction in the other 2.

Introduction: Distal humeral fractures account for approximately 2%-6% of all fractures and for approximately 30% of all elbow fractures [1] . The complex anatomy of the distal end of the humerus, with its unique orientation of articular surfaces supported by a meager amount of cancellous bone, makes its fracture a constant challenge to orthopaedic surgeons [2] . Materials and Methods: A prospective study was conducted in Tertiary hospital for a period of 1 year. We studied 25 consecutive patients with distal humerus intercondylar (AO Type C) fracture, included in study as per inclusion criteria. Discussion: Regardless of the method of treatment, substantial damage to the distal humerus usually results in some limitation of motion, pain, weakness, and possibly instability. Even minor irregularities of the joint surface of the elbow usually cause some loss of function. This can usually be minimized by early, accurate open reduction with sufficiently rigid fixation to permit immediate motion. Conclusion:Delay in open reduction internal fixation with delayed soft tissue dissection leads to increased chances of elbow stiffness due to periarticular fibrosis. Use of conventional plates will suffice and more importance should be given to achieve good intercondylar reduction and pillar reconstruction.

The incidence of tibial shaft fracture that too distal end fracture is on the rise due to increased rate of road traffic accident by two-wheeler users, specially due to the traffic scenario in cities of our country. High speed vehicles, bad roads and rapid industrialization has further compounded the problems. In this prospective study, we studied 20 patients that suffered a distal tibial fracture. They were managed by intramedullary nailing with or without fixation of the fibula. Results were based on radiological and functional outcomes categorized by excellent, good, fair and poor. We evaluated the rate of fracture union and post-operative complications. 65% of the patients had an excellent outcome, 25% had good, 5 had fair and 5 had a poor outcome. 6 patients suffered complication. The average time to union was 15 weeks. Our study concluded the excellent outcomes that could achieved by intramedullary nail with the distal locking screw.

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