<p class="abstract"><strong>Background:</strong> Injury to the anterior cruciate ligament (ACL) is one of the most frequent injuries of the knee during different sports activities. Arthroscopic surgical reconstruction is the current standard of care for treatment of ACL injuries in young and active patients. The widespread adoption of ACL reconstruction over primary repair was based on early perception of the limited healing capacity of the ACL. Hamstring tendon is most favoured graft for ACL reconstruction. We wanted to study the outcomes particular method of fixation for fixing the hamstring tendon.</p><p class="abstract"><strong>Methods:</strong> In this study 30 patient with ACL injury were treated arthroscopically for the fixation of graft in bone tunnel we use endobutton for femur and suture disc for tibia as suspensor implant and prospective assessment of functional outcome using Tegner Lysholm knee scoring system.<strong></strong></p><p class="abstract"><strong>Results:</strong> The preoperative activity level could be maintained in 70% of the patients. The Lysholm score showed very good and good results in 80%. Functional and stability results in about 70% of the patients.</p><strong>Conclusions:</strong>This surgical technique can be recommended for the active patient with ACL deficiency. The functional outcome of anterior cruciate ligament reconstruction with quadrupled semitendinosus tendon autograft using Endobutton and suture disc is good. This method of fixation will help the graft to facilitate graft tunnel healing and also maintain its strength until there is a good graft to bone healing occurs completely.

The aim of this study is to compare two methods of internal fixations for isolated fractures of medial malleolus by partially threaded screw fixation and tension band wiring. Patients and Methods: Over the period of 2 years we grouped 20 patients of fractured medial malleolus randomly into two groups of operative treatments, group1 treated by 4mm partially threaded lag screw fixation and group 2 by tension band wiring. Modified ankle scoring system of Olerud and Molander was used to assess outcome of procedures. We use Independent sample t test for analysis and make a comparative study between the two ways of surgical treatment. Clearance from ethical committee is obtained and informed consent from all patient taken for study. Results: The mean time for radiologic bone union was 11 weeks in Group 1 patients and Group 2 patients. No patients had any sign of fixation failure or Kirschner (K) wires migration. According to the modified ankle scoring system of Olerud and Molander excellent and good results were achieved in 80 % in group1 patients and 90 % in group 2 patients (P = 0.049). Conclusions: Tension-band wiring may be better treatment option for internal fixation of medial malleolar fractures than screw fixation in small fragments avulsion fracture.

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Tibial plateau fracture management is challenging because of the severe displacement of the bony fragments, the concomitant depression and impaction of the cancellous subchondral bone, and the inevitable associated cartilage injury.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A prospective cohort study of 25 patients who suffered high energy intra-articular fractures of proximal tibia was done and they were diagnosed and classified according to Schatzker’s classification. The study was done to study the outcomes of surgical management of high energy tibial plateau fractures with buttress plate, to achieve anatomical reduction and absolute stable internal fixation to prevent malunion, to achieve early mobilisation, to prevent post-operative knee stiffness and also to determine timing of operation after trauma and sequence of fixation of bicondylar fractures. All patients were treated with open reduction and internal fixation with a buttress plate either a lateral, medial or bicondylar plating</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Average radio-graphic bony union time was 12 weeks. Average full weight bearing time was 13 weeks. Knee stiffness improved with physiotherapy and full range was achieved on an average in 8 weeks, mean range of movement 0-124.5º was achieved. 4 patients (16%) developed infection. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Fractures of upper end of tibia can be treated with the plating technique, to achieve anatomical reduction and stable internal fixation with 82% good functional outcome. The plating technique facilitates early mobilisation of injured joint and attains good range of movements. Minimal mal reduction does not seem to vitiate the results. The infection rate of 16% is of concern with this procedure, but responds well to antibiotics and surgical debridement.</span></p>