Introduction: Treating distal tibia fracture is a greater challenge for surgeons to manage even today. The difficulty is due to its poor blood supply and limited soft tissue envelope. Various techniques are now available for the treatment of tibia fractures. The occurrence of implant failure, skin necrosis, infection and malunion are high in case of distal tibia fractures. Aims/Objective: Our aimed was to analyze the functional outcome of distal tibia fractures treated by MIPPO Technique using the American Orthopedic Foot and Ankle Society Score. Method: A total of 20 patients of a closed distal Tibia fracture were studied by us with a MIPO with LCP Technique in Department of Orthopedics at DYP Medical College and hospital Kolhapur during the period from June 2017 and June 2019 and were prospectively followed for average duration of 16 months (6-24 months). Results: In our study the mean age of patients was 43 out of which 65% was male and 35% was female. Functional outcome was measured using the AOFAS score and mean AOFAS score was 84.45 at the end of 6 months. Under our study out of 20 patients 4 had excellent outcome, 14 had good result, 2 had acceptable result on basis of AOFAS score. Conclusion: MIPPO is an effective method of treatment for distal tibia fractures because it offers a Biological advantage by preserving periosteal blood supply and combine with C-arm guidance helps in indirect reduction of distal tibia fracture in restoring length an alignment, thus reducing the chances of malunion and deformities. It helps in early mobilization of ankle movement and reduces the ankle stiffness thus improving clinical and functional outcome.

The aim of our study was to evaluate the clinical outcome of distal humerus fractures treated with orthogonal plating via the olecranon osteotomy approach in the Indian population, at a tertiary care centre in Kolhapur. Method: A prospective study was carried out in a tertiary care center in Kolhapur. A total number of 16 patients with fractures of distal humerus (AO type B and C) were studied between May2019 to August 2020. All were treated with orthogonal plating via the olecranon osteotomy approach. A mean follow up of 6 months was carried out, and evaluation was done with the help of MEPS and DASH scoring system. Result: The mean radiological union time was 14.6 weeks with an arc of flexion of 101.2 degrees. The outcome measured using Mayo Elbow Performance Score (MEPS) and DASH scoring was 89 and 15.4 points respectively at 6 months. Patient satisfaction was 87% at the end of 6 month follow-up.25% patients reported complications like infection (1 patient), delayed wound healing (2 patients) and hardware prominence (1 patient). No cases of infection or peripheral neuropathies were reported in any of the patients. Conclusion:Orthogonal plating via the olecranon osteotomy approach remains a good alternative showing good clinical outcome in the treatment of distal humerus fractures (AO type B and C). It offers a more stable fixation and the olecranon osteotomy approach gives better exposure for surgery.

The aim of this study was to evaluate the clinical and radiological outcome of internal fixation of distal end of femur fracture using locking compression plate. Commonly occurs in elderly patients following a trivial fall or in young adults following a high velocity trauma due to RTA. Treatment of distal femur fracture has been a great challenge with a variety of treatment modalities available and yet unpredictable outcomes. Surgical treatment has become the favourable choice after improvement in surgical techniques and implants. Materials and Method: A prospective study on 22 patients was conducted between the year august 2017-Dec 2018 with age group between 20-70 years with a mean age of 50, irrespective of sex. The patients were treated with internal fixation using locking compression plate and followed up at 6 months post-operatively. The clinical outcomes were evaluated using Neers scoring system at 6 months post-operatively. Result and Observation: The result showed that sixteen patients had excellent results, four had Good, one had fair and one failure. Conclusion:The treatment of distal femur fracture (AO type A, B and C) with a single LCP using direct lateral approach, good to excellent results were achieved in majority of the cases will full weight bearing to start as early as 18.03 weeks (average) and radiological union by 16 weeks (average) and therefore is our current choice for most AO/OTA type A, B and C fractures of distal femur requiring plate Osteosynthesis.

Introduction: Intra-articular distal humeral fractures are very complex fractures. A variety of approaches are used to treat this fracture. The purpose of this study is to evaluate and compare the functional outcomes of two approaches that are olecranon osteotomy and triceps-lifting approach for the treatment of intra-articular distal humeral fractures. Methods: This study includes 30 intra-articular distal humeral fractures patients who were treated with open reduction and internal fixation with anatomic plating by two different approaches. Lateral plating was performed in 6 patients, and medial and lateral parallel plating was performed in 12 patients in the olecranon osteotomy group, while lateral plating was performed in 3 patients, and medial and lateral parallel plating was performed in 9 patients in a triceps-lifting group. It includes retrospective and prospective study in the department of orthopaedic in DR. D Y Patil Medical College Kolhapur during the period from June 2017 to June 2019. Results: After regular follow and after assessing the patient we came to the result that functional outcomes according to MAYO elbow score and extension-flexion motion arc values were significantly better in the olecranon osteotomy group. The mean complication rate in olecranon osteotomy was 33% and in tricep lifting approach the mean complication rate was 50%. Conclusion:Olecranon osteotomy approach has better functional outcomes than the triceps-lifting approach. Intra-articular distal humerus fractures can be safely treated with olecranon osteotomy which provides more control over the elbow joint and better visualization and allows early postoperative rehabilitation.