Background: Selection of method of treatment of Colles fracture depends upon age, occupation, dominant hand, type of fracture, co-morbid conditions and nature of wound. Even in the treatment of fracture in elderly patients, orthopaedic surgeon must have more thresholds for intervention in an unstable and displaced fracture than young one. There is difference in the outcome of fracture stabilisation of Colles fracture, so we have designed this study to evaluate the result of treatment of this fracture by closed reduction and plaster cast immobilisation alone or by K-wire fixation and plaster cast immobilisation. Material and Method: As per exclusion and inclusion criteria 64 patients with fracture of distal and of radius were enrolled for this study and equally divided into two groups. Patients were assessed clinically for range of movement, fracture union and by radiologically for radiological parameters like, volar tilt which was expressed as degree from neutral position radial inclination and radial length. The range of movement was measured and compared to the normal side after 3 months for assessment of daily life activities Gartland and wereley score was used, in the form of excellent, good, fair and poor. Result: Overall evaluation the result was excellent in 2 (6.25%) patient in group A and 4 (12.5%) in group B. It was good in 6 (18.75%) patents in group A and 18 (56.25%) patients is group B. 20 (62.5%) patients in group A have fair result and 10 (31.25%) patient in group B have fair result. Result was poor in 4 (12.5%) patient in group A and 1 (3.125%) in group B. Conclusion:The overall evaluation result of two modalities of treatment, K-wire fixation has statistically significant better result than cast immobilisation alone. More patient in K-wire group has good result (56.25%) then closed reduction group but in closed reduction group fair result was more (62.5%).

Back ground: Intertrochanteric fractures are extra capsular fractures of the proximal femur that occurs between greater and lesser trochanter. This fracture comprises of half of the all hip fracture which occurs due to low energy mechanism, and is likely to increase. Intramedullary nailing is used to treat a broader range of intertrochantric fracture, it is less invasive, blood loss is less, and allow early weight bearing. But there are very few data suggesting that intramedullary nailing hip screw is more of effective than dynamic hip screw. Material and method: A sample size of 60 was selected for this study using purposive sampling technique. All patients were evaluated as history and mode of injury, radiological evaluation of fracture, and haematological profile was done. For pre injury walking ability evaluation Sahlstrand classification was used. X-ray AP and lateral view of hip was taken. Bohler -Braun frame was used to put skin traction. General condition of all patients was evaluated and corrective measure was taken. Fracture was classified based on Jensen and michealsen's modification of Evans classification. Result: Regarding intra operative variables as per table-2, the mean duration of surgery in group A was 63.23+9.27 min in group B it was 87.866 + 4.15 min, The P value was 0.0001 The mean amount of blood loss 136 +40.46ml in group A and 385+74.42ml in group B. The P value was 0.0001. In group A mean of length of incision was 9.4+ 1.246mm and in group B it was 14.48+0.94cm. The P value was 0.0001. Discussion and conclusion: Based on our observation we can conclude that intra operative profile is better in proximal femoral nailing then dynamic hip screw. The blood loss was less, duration of surgery was less and the size of incision was less in proximal femoral nailing. Proximal femoral nailing has better out come in terms of early mobilisation of patient.