Background: Humeral shaft fracture accounts for approximately 3% of all the types of fractures and is the most common type of fracture occurring in adults. A surgical intervention for a humeral shaft fracture is controversial whether as to intervene or not but for other types of fractures like multiple fractures, severely displaced fractures, a comminuted fracture and fractures where there is vascular and nerve injury surgical intervention is definitely required. Aim: Outcomes of comparison between I/M interlocking nail and plating in fractures of humerus shaft in adult patients. Methodology: A randomized clinical trial was conducted at the Department of Orthopedic Surgery, Sh. Zayed Hospital, Lahore over a period of six months. 190 patients (divided in two equal groups by lottery method) were included. Informed consent was taken. Demographics like age, gender, duration of fracture were obtained. In group A patients underwent surgery by using IMN fixation. In group B, patients underwent surgery by using plate. Patients were followed-up in OPD of 10 days. Then patients were followed-up further in OPD for 24 weeks. If union achieved in 24 weeks, then success was labeled. Results: Total of 190 patients, mean age was calculated as 39.57±8.09 years in group A and 40.01±8.79 years in group B. There were 62(32.6%) males whereas 48(25.3%) were females in group A and that 63(33.2%) were male whereas 32(16.8%) were females in group B. Frequency of success was 94(49.5%) in group A and 92(49.4%, in group B. Frequency of infection was 1(0.5%) in group A and 2(1.1%) in group B Conclusion: It is concluded that there was no significant difference in both groups. Intramedullary nail and plate provides good outcome with no complications in the treatment of humerus shaft fractures. Keywords: Humerus shaft Fracture, Intramedullary nail, Plate.

Background: Complex proximal tibial fractures caused by high energy trauma classified as Schatzker type V and VI pose a management challenge due to associated extensive soft tissue damage.Though open reduction and dual plating is considered a gold standard treatment option in these fractures but associated with wound breakdown and infection. Aim: To evaluate the radiological and functional outcomes of percutaneous hybrid fixator as alternative treatment option in these fractures. Methodology: This study designed as prospective case series was conducted in Sheikh Zayed Hospital Lahore between May 2019 to May 2021.Twenty four patients fulfilling the inclusion criteria were operated using a hybrid external fixator in schatzkerV and VI tibial plateu fractures with compromised soft tissue.On follow upradiological and functional outcomes were being evaluated. Results: At Six months follow up after surgery Rasmussen knee score was graded as excellent in 13, good in 8, fair in 3 and poor in 0 patients.In radiological outcome mean time to bony union was 13.5 weeks.One case of varus malunion and no case case of non union was observed in our study. Conclusion: Hybrid external fixator is a well found fixation alternative as compared to conventional open reduction and internal fixation in Complex tibial plateau fractures with extensive soft tissue disruption achieving satisfactory radiological and functional outcomes. Keywords: Schatzker, Tibial plateau, Hybrid fixator.

Background: Posterolateral knee dislocation rarely occur and might not reduce due to buttonholing of the Femoral condyle into the anteromedial knee joint capsule. These are complex injuries without any clear guidelines in terms of management. Case presentation: 40-year-old male presented with posterolateral knee dislocation due to a road traffic accident. Patient was having posterior cruciate ligament (PCL) injury along with posterolateral corner instability supported by clinical examination and confirmed with radiologic investigations. Management and Results: Patient was managed with single-stage arthroscopic reconstruction of PCL followed by open posterolateral corner ligaments reconstruction. Postoperatively patient had positive functional outcomes with satisfactory international knee documentation committee subjective knee form (IKDC) scores. Conclusion: Posterolateral Corner Injury (PLC) injury with associated PCL injury showed positive results when managed in a single-stage procedure.