To study the fractures of distal end of femur and the mechanism of injury in distal end femur fractures, the advantages and disadvantages of open reduction and internal fixation of distal end femur fractures by distal femoral locking compression plate osteosynthesis and to analyse the outcome in terms of range of Knee motion, time to union, and limb shortening. RESULTS The mean age of patient is 44 years, 85% are males, road traffic accidents account for majority (80%), right side involved in 70%, Muller's type C fracture is common, good range of movements is seen 90% of cases and union occurred in 95% in 5 months. The results were assessed using Neer's score, seven (35%) patients had excellent results, eight (40%) patients had good results, four (20%) patients had fair results and one (5%) patient had poor result. CONCLUSION From our study, we conclude that DF-LCP is a safe and reliable implant and has shown excellent to satisfactory results in majority of intra-articular fractures (AO type C). Fixation with locking compression plate showed more effectiveness in severely osteoporotic bones, shorter operative stay, faster recovery, faster union rates and excellent functional outcome.

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To evaluate the results of closed interlocking intramedullary nailing without reaming in the treatment of open fractures of the tibial shaft and study the difficulties (complications) encountered during the operative study. To compare the efficacy of interlocking intramedullary nailing without reaming in treating open fractures of tibia, Time required for the union of fracture, Range of motion of ankle and knee joint, Rate of malunion and mal rotation and Pain at the knee joint. RESULTS: The average age of patient is 32 years,83.33% are males, road traffic accidents account for majority(79.16%),right side involved in 58.33%,gustillo type II and type I compound fractures are common, full range of movements is seen in 66.67% by 12 weeks and union occurred in 95.83% by 9 months. Thirteen (54.17%) patients had excellent results, six (25%) patients had good results, four (16.67%) patients had fair results and one (4.16) patient had poor result. CONCLUSION: Unreamed interlocking intramedullary nailing with the help of image intensifier seems feasible in open diaphyseal fractures of tibia with the advantages of minimal blood loss, low risk of infection, early mobilisation, earlier soft tissue coverage, Promotes early union,minimal hospital stay and early returns to activities.

AIMS AND OBJECTIVES:To study the fractures, mechanism of injury, union rates and functional results of humeral shaft fractures treated with open reduction and internal fixation with dynamic compression plate. RESULTS: In present study, 25 patients of diaphyseal fractures of humerus, surgically managed by dynamic compression plate & screws, between October 2012 to September 2014 in government general hospital attached to kurnool medical college were included. The average age of the patient is 38.9 years, road traffic accidents being the most common mode of accident with 72%, middle third fractures were commonest with 80%, transverse fractures were the commonest with 52%, anterolateral approach was used in 88%, union achieved in 88% with mean time for union 15.56 weeks, iatrogenic radial nerve palsy in 4%, postoperative infection in 4%, full range of movements in 80%, with 8% nonunion. CONCLUSION: By the analysis of the data collected in the present study, dynamic compression plate & screws remains the implant of choice in the management of diaphyseal fractures of humerus.

Septic Arthritis also known as infectious arthritis, can be bacterial or fungal arthritis. The condition is an inflammation of a joint that is caused by an infection. Typically, Septic Arthritis affects one large joint in the body such as knee or hip. Generally, Septic Arthritis is present with complete absorption of the head of the Femur in infants. A case was encountered in which the complete absorption of the femoral head was seen in adults also.