Introduction: Intertrochanteric (IT) femur fractures comprise approximately half of all hip fractures. These fragility hip fractures occur in a characteristic population with risk factors including increasing age, female gender, osteoporosis, a history of falls, and gait abnormalities. Although the effects of PFN and DHS in treatment of intertrochanteric fractures have been reported, the results and conclusions are not consistent. Materials and Methods: This Comparative Prospective study was conducted in a tertiary care institute ELMCH for a period of 18 months from January 2017 to June 2018. Every case with intertrochanteric fracture was treated randomly (computer generated number table) either by Dynamic hip screw(DHS) or Proximal femoral nail(PFN). A total of 80 cases were included. The patients were further divided into two groups, each of 40 cases, 40 were treated by Dynamic Hip Screw & 40 were treated with proximal femoral nail (P.F.N). All patients were followed up for nine months. Results: In our study the mean age in the PFN group was 62.5 while in the DHS group it was 64 years. In present study the intergroup comparison of Harris Hip score between PFN and DHS group revealed that post operatively after 1 month the Harris hip score in PFN group had mean value 32.95±2.65, while the HH score in DHS group had mean 22.30±0.65. Post operatively after 3 month the Harris hip score in PFN group had mean value 57.33±2.10, while the HH score in DHS group had mean 51.90±0.96. Post operatively after 6 month the Harris hip score in PFN group had mean value 83.50±0.96, while the HH score in DHS group had mean 73.73±3.30. Conclusion: Therefore, the study showed that PFN is better method of fixation in intertrochanteric fracture of femur.

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The controversy regarding the advantages and disadvantages of the cemented bipolar prosthesis with uncemented bipolar prosthesis is still in debate. The present study was carried out with an aim to compare hemiarthroplasty using cemented bipolar prosthesis with uncemented bipolar prosthesis in elderly patients with intracapsular fractures of the neck of femur. Thirty elderly patients with femoral neck fracture in each group were enrolled in the study. Devastating injuries of hip viz. Femoral neck fracture mostly affect the elderly age group leading to debilitatory health issues, reducing quality of life, increase in economic burden over family and number of deaths. This study has been taken up to compare two groups in terms of functional outcome. Prospective analysis of 60 elderly patients who underwent hemiarthroplasty using cemented bipolar prosthesis (n=30) & uncemented bipolar prosthesis (n=30) for intracapsular fractures of the neck of femur were reviewed. Postoperative harris hip score & visual analogue score was assessed at discharge, 3 weeks, 6 weeks, 12 weeks & 6 months for both the groups. At 3 weeks, 6 weeks, 12 weeks and 6 months follow-up intervals Harris Hip score & visual analogue score of the two groups were not statistically significant. Conclusion:The present study compared both cemented and uncemented bipolar prosthesis offering similar functional outcomes among elderly patients with fracture femoral neck.

Introduction: Anterior Cruciate Ligament (ACL) injuries are quite common among young sportspersons and those leading an active life, thereby stressing on the need to provide a rehabilitation that provides full functionality and can cut-back the duration of hospital stay in order to enable these persons to contribute actively to the society. As far as the incidence of ACL injuries in general population is concerned, it is one of the most common ligament injuries in sports traumatology. Materials and Methods: This is a comparative prospective study comprising of two groups each having 30 patients with complete ACL tear. In one group Accessory Antero medial portal technique was used and in the other group antero medial portal technique was used. The follow period was 1 year. Patients were assessed clinically and by lysholm knee score. Result: On the basis of this study it was found that patients in short term there is no significant difference between two techniques. However, in mid-term (6 months and 12 months) functional results are better in AAM as compared to AM. Femoral tunnel angles are smaller in AAM as compared to AM. Conclusion:For single bundle ACL reconstruction Accessory antero medial portal technique is a better procedure.