Background: Distal radius fracture is more common accounting for 1/6th of the all fractures. With this background, this study was carried out to compare the functional outcome of volar locking plate and external fixator to the displaced intra-articular distal end radius fractures using Modified Mayo Wrist Score (MMWS). Materials and methods: This study included those patients with distal radius fracture attending the Orthopaedic Department of DMCH, Laheriasarai, Bihar, during January 2019 to December 2019. Patients were randomised based on - even and odd day of the week. This included two set of group with twenty patients in each group- one with volar locking plating and other with external fixation. Patients were followed up at 6 months and 1 year. At each follow up, the pain and range of movements were assessed by MMWS score which was entered in Microsoft excel and analysed in SPSS 20. Results: At the end of one year after surgery, we observed that external fixation technique was superior for treating displaced intra-articular comminuted distal end radius fractures than volar locking plate. Conclusion: External fixator showed more advantageous than volar locking plates after 1year of follow up.

Background: The fractures of distal tibia including tibial pilon pose a great challenge to the surgeon due to subcutaneous location, scarcity of blood supply and paucity of soft tissue coverage. Minimal invasive plating osteosynthesis (MIPO) has evolved as a newer concept to treat distal tibial fractures with minimal articular comminution and minimal soft tissue damage. Aim of the present study was to evaluate the results of MIPO technique with use of a locking plate in fracture tibia distal end. Method: During the study period of two years, total 45 cases of closed distal tibial fractures (Diaphyseal and metaphyseal region) were operated by MIPO technique with a distal tibial anatomical locking plate (3.5 and 4.5 mm). They were followed up at regular intervals and results were evaluated. Results: The age of the patients ranged from 20-60 years with the majority (19; 42.22%) of them being in the age of 40-50 years. The most common mode of injury was road traffic accident (33; 73.33%). In all patients MIPO was performed, in none of them, fracture site was opened. Mobilization of adjacent joints was carried out mostly from second to fourth postoperative day. Most of the fractures united between 10-12 weeks (26; 57.77%). On analyzing the results of MIPO, excellent results were seen in 66.66% cases and 33.34% had satisfactory results. Conclusion: Hereby we concluded that though various modalities of treatment of fractures of the distal tibia are present MIPO seem to be better technique if done under skillful guidance as done in this study.

Background: FNAC is considered an important procedure in the diagnosis of bone tumors because of its high accuracy. In our study FNA was performed in patients to study the role of FNAC in the diagnosis of bone tumors and to evaluate its usefulness as a diagnostic modality. Methods: Fine needle aspiration was performed on 54 patients whose age ranged between 5 – 75 years with a male to female ratio 1.84 :1 presented with various bone lesions. The bone lesions included 42 (78%) primary lesions, 5 (9.3%) metastatic deposits and 7 (12. 7%) malignancy of related structures involving the bone. Results: 47 biopsy specimens were available for cytohistological correlation and cytological ndings of 45 cases correlated with histopathology. The overall diagnostic accuracy was 95.92%, with 100% sensitivity and specicity. The predictive values of positive as well as negative test were 100%. Conclusions:Thus FNAwas found to be a safe and an extremely useful, rapid method in the preliminary diagnosis of bone lesions.

Introduction: High tibial osteotomy (HTO) is a common surgical technique for isolated medial compartment osteoarthritis of tibio-femoral component of knee, indicated in young and active patients with varus deformity. It can be performed by lateral closed wedge osteotomy, medial open wedge osteotomy and dome osteotomy. Purpose of this study was to evaluate the (1) Incidence and severity of complications after medial open wedge osteotomy, (2) functional outcome, (3) survival rate of HTO, (4) incidence of revision to TKR. Materials And Methods: We have evaluated 32 knees in 27 patients operated during last 3 years (August 2016 to July 2019) who have undergone Medial open wedge HTO for Unicompartmental (medial) OA of knee. The indications for surgery were medial compartment osteoarthritis with varus deformity of knee, young and active patients with age < 55yrs, progressive symptoms unresponsive to conservative treatment for at least 6 months, >90˚ of flexion, flexion contracture <10˚, intact cruciates and collaterals. Post-operatively, patients were followed up every month till bony union, thereafter every 3 months for 1yr post-surgery, at final follow-up and were evaluated for the complications and the functional outcome using HSS knee score. Results: The mean duration of bony union was 12 weeks (10-16). All the pre-operative range of movements was retained post-operatively. HSS knee score has increased significantly following medial open wedge HTO. 5 year-survival rate was 100% and 10 year-survival rate was 87.5%. Four patients were revised to total knee replacement (12.5%). In our study, overall complication rate was 10.93%. Conclusion: Success of arthroplasty in recent decades has degraded HTO lately, but HTO is still a viable option for young and active patients with medial compartment osteoarthritis of knee with varus deformity, with flexion >90˚, with flexion contracture < 10˚. It is less expensive and no changes in lifestyle are required which is very useful in Indian perspective. It retains all the pre-operative movements and helps in delaying total knee arthroplasty.

Objective: Many different neoplastic and non-neoplastic lesions involve the skeletal system. Clinical and radiological tools primarily assess the nature of these lesions. The aim of this study was to analyze the cystic bone lesions in a pathologic point of view. Methods:All bone cysts evaluated under the guidance of clinical information and radiological images. Descriptive data such as age, gender, tumor site, symptoms, and clinical and radiological ndings obtained from the hospital's database system. Results: There were 96 cystic bone lesions; 47 were aneurysmal bone cysts (ABCs), 37 were simple bone cysts (SBCs), one was a lesion with features of both ABC and SBC, four were intraosseous ganglia, four were epidermoid cysts, and three were hydatid cysts. The mean ages of the patients with ABCs and SBCs were 18.7 ± 12.8 years (range, 3-75 years) and 23.8 ± 13.3 years (range, 3-62 years), respectively. Most of the lesions located in the long bones. Conclusions: Cystic lesions of the bone rarely encountered in daily pathology routine. As with all conditions affecting the skeletal system, one of the most important steps towards an accurate pathological diagnosis is to perform with clinical and radiological information while evaluating the patients.