Background: Fractures of hand bones are often considered minor injuries and treatment is either delayed or neglected. These fractures are usually treated conservatively that leaves behind a residual functional deficit. Surgical intervention should be considered for open, unstable, multiple, comminuted, or intra-articular fractures. Standard surgical treatment includes the use of K-wire, plate, or mini-screws which are associated with unsatisfactory results and high complication rates. Joint stiffness is a commonly reported complication with most of the existing devices used for hand bone fractures. There is a deficit of data pertaining to the effectiveness of Joshi's External Stabilization System (JESS) in avoiding joint stiffness. Joshi's external fixator is a reliable treatment of phalangeal and metacarpal fractures of the hand. It is an economical, simple, lightweight, and stable contract. Patients and Methods: We report a prospective cohort study of 30 patients of hand bone fracture, 10–60-year age range, treated by JESS. Functional evaluation was made using the Duncan et al. scoring. Results: The results recorded were excellent in 31.58% of cases, good in 42.11% of cases, fair in 21.05%, and poor in 5.26% of patients. Conclusion: JESS ex-fix for hand is a useful construct that allows early mobilization of nearby joints. It can be considered a suitable choice for the management of phalangeal and metacarpal fractures of hand to deliver good functional outcome.

Background: Tibia is the main weight-bearing bone of the leg and accounts for 8-10% of lower limb fractures. Distal tibia fractures are prone to complications due to their subcutaneous nature. It is essential to preserve soft tissue and blood supply in this region to achieve good healing. Controversy exists with regard to use of intramedullary nailing (IMN) or minimal invasive locking plate for management. Aim: This study aims to evaluate and compare clinical and functional outcome of IMN and MIPO in the management of extra-articular distal tibial fractures. Methods: A total of 56 patients with extra-articular distal tibia fracture (OA type 43A1, A2, and A3) admitted to the orthopedic department of our institute between October 2017 and September 2020 were included in the study. One group was treated with intramedullary nail and the second group was treated with minimally invasive locking compression plate. Clinical and functional outcomes in the two groups were evaluated and comparisons were made. Results: The results were interpreted using the Olerud–Molander score according to which excellent outcome was noted in eight patients, good outcome in 45 patients, and fair outcome in 2 patients. One patient in the plating group recorded poor result. Conclusions: Intramedullary interlocking nailing can be considered a very effective modality of treatment indicated for closed extra-articular distal tibial fractures, but is technically demanding. Plating on the other hand can deliver satisfactory results when local soft tissue status is good.