Background: The primary goals of distal radius fracture fixation are to put the pieces back where they belong and, most importantly, to do so by a method that does not compromise hand function. Displaced comminuted intra-articular fractures of the distal radius are difficult to treat successfully by traditional non-operative methods. Thus, external fixation plays a very distinct role. Methods: Twenty adult patients with closed comminuted intra-articular fractures of the distal radius were treated by closed reduction and immobilization with a external wrist fixator during a 2-year period [September 2003 to September 2005. Six weeks later, the fixator was removed. The patients then were observed for an average of 8 months [6-10 months]. Results: An excellent outcome was seen in 2 patients (10%), a good outcome in 12 patients (60%), and a fair outcome in 5 patients (25%) and poor outcome in 1 patient (5%). Minor complication, pin tract infection was present in one (5%) patient but recovered completely after removal of the fixator. Conclusions: External fixator is simple and inexpensive. Displaced severely comminuted intra-articular fractures should be treated with an external fixator. It effectively stabilises fractures y et al lowing for hand motion and prevents stiffness. The radial angle and volar tilt should be achieved for an optimal outcome, it is difficult to regain volar tilt by ligamentotaxis and maintain it by external fixators. Most complications are minor and easily treated and do not affect outcome. The ease of use of the implants and successful track record make it an extremely versatile tool for treating complex fractures of the distal radius.

Back Ground and Objectives: Tibia is the most commonly fractured long bone in the body with an annual incidence of Tibial shaft Fractures is 2 per 1000 individuals. Tibia is a large bone of the body and one of the principle load bearing bone in the lower extremity; Tibial fractures can cause a long morbidity and extensive disability unless treatment is appropriate. Various techniques are now available for the treatment of tibial fractures where the orthopedic surgeon must be aware of the advantages, disadvantages and limitation of each procedure to select the right choice of treatment for each particular patient. In case of tibial fractures the type; location; degree of comminution; age and patient's social and economic demand may influence the method of treatment. In distal tibia fractures; malunion and stiffness of joint are commonly encountered problems, due to which the use of non-operative treatment of widely displaced distal tibia fractures may result in poor functional outcome. Hence the present study was undertaken to provide satisfactory functional outcome and to know the advantage and complications of the Tibial Interlocking nail with polar screws. Materials and Methods: The present study was conducted in Department of Orthopaedics at Sri Siddhartha medical college, hospital and Research Center Tumkur during the period from August 2015 and July 2017. A total of 30 patients attending the hospital during the study period with closed distal third diaphyseal fracture of Tibia aged more than 18 years who were medically fit for surgery were included in the study. Results: In this study, the mean age of patients with this fractures was 37.2 years and maximum patients were in the age group of 31-40 years. Males predominated in our study. Road traffic accidents are the main cause of fractures followed by fall. In our series most of the cases were transverse fractures 13 patients (43.37%) followed by oblique fractures 9 patients (30%) and 8 patients with spiral fractures (26.7%). All the fractures taken into the account occurred at the distal tibial region. Results were excellent in 93.3% of the patients, good in 6.67% with no fair and no poor cases as graded according to Klemm and Bornner criteria. Conclusion:The method has a long learning curve but with the excellent results, the advantages of rapid rehablitation and relatively few complications recommends this procedure and technique for wider use of distal tibia fractures.

Aims and objective 1. To evaluate the results 2 year after the management of Achilles tendon rupture, using standardized, validated assessment methods for symptoms and function in patients treated with percutaneous surgical repair augmented with ss wire. 2. To evaluate the recovery of function 2 year after injury and to study how function relates to patient-reported outcomes, with regard to lower limb function, as well as general health and quality of life. Material and method:This was an Prospective Cohort study of 50 patients of acute ruptured Tendo Achilles who were treated with percutaneous repair. Cases were taken up according to inclusion and exclusion criteria. All patients underwent a rehabilitation program. Cases were followed and evaluated at 3 weeks, 6 weeks, 12 weeks, 6 month and 1 year interval. The results were evaluated clinically and functionally by Leppilahti scoring method. Results: All the patients were followed up at 3 weeks, 6 weeks, 12 weeks, 6 months and 1 year interval. Mean time to return to work was 4 months in patients treated with percutaneous repair of acute ruptured Tendo Achilles. Lippelahti scores was excellent in 92%, good in 6%and fair in 2%. Conclusion: the results of our study shows that complications associated with Percutaneous repair with modification included in this study of Tendo Achilles were significantly low with. Percutaneous repair provides excellent function, with a better cosmetic appearance, a lower rate of wound complications, re rupture rate and is also cost effective.

Femoral shaft fractures account for 1.6% of all paediatric bony injuries. Spica casting remains the most popular accepted method for treatment of femoral shaft fracture in infants and toddlers. The aim of our study is to study the outcome of closed intramedullary flexible nailing in fracture shaft femur in children aged more than 3 years and less then 13 years. This is institutional based prospective study of 60 patients, aged 3 to 13 years, with fracture shaft of the femur were treated with retrograde flexible intramedullary (titanium elastic) nailing at Dr. Shankarrao Chavan Govt. Medical College Vishnupuri, Nanded. Statistical analysis done by chi-square test. In the present study, the final outcome was excellent in 40 (66.66%) cases, satisfactory in 10(33.33%) cases and there were no poor outcome cases. TENS is a simple, easy, rapid, reliable and effective method for management of paediatric femoral fractures between the age of 5 to 15 years, with shorter operative time, lesser blood loss, lesser radiation exposure, shorter hospital stay, and reasonable time to bone healing.