Introduction: Acute compartment syndrome of the thigh is an orthopedic emergency. Compartment syndrome of the thigh without a fracture or any other associated pre-injury pathology is scantily reported in the literature. Lack of awareness and inexperience often results in a failure to diagnose it. Case report: In this article, we are presenting a rare case of acute compartment syndrome involving the anterior compartment of the thigh without any bony abnormality or a fracture in a 62-year-old male who sustained an injury to his lateral aspect of the right thigh by a fall from a height. We performed an emergency fasciotomy and decompression of the involved compartment. The patient needed a subsequent skin grafting for the wound closure. Finally, after 7 months of follow-up, an excellent clinical outcome of the affected limb has been achieved. Conclusion: Thigh compartment syndrome without a fracture or other pre-injury pathological abnormalities of the thigh is relatively rare, hence there is often a fair risk that a case will go unnoticed. Therefore, a high index of clinical suspicion and prompt treatment can protect a patient with thigh compartment syndrome from long-term disability.

The purpose of this study was to assess the results of percutaneous autologous bone marrow injection in the treatment of delayed union of long bone fractures after definitive fixation. It has been a gruelling job for the orthopaedic surgeons to deal with the delayed union after definitive fixation due to the lack of patient compliance for reoperation like classical bone grafting technique for delayed union and non-union, unfavourable fracture site morphology for external compression, post-operative surgical wound issues etc., The percutaneous autologous bone marrow injection is a reasonable choice in this scenario for the treatment of Delayed union of long bone fractures after definitive fixation. The study was performed in the department of orthopaedics Assam Medical College and Hospital, Dibrugarh, Assam, India for a period of 2 years from July 2019 to June 2021. A total of 23 patients were taken with delayed union of long bone fractures after definitive fixation. These 23 patients were treated with percutaneous autologous bone marrow injection and followed up for 6 months. The results were evaluated on the basis of clinico-radiological criteria of union, and found to be excellent in 60.86% (14/23), good in 17.39% (4/23) and poor in 21.73% (5/23) cases. The percutaneous autologous bone marrow injection provides cellular stimulation and promotes fracture healing without the necessity for opening the fracture site. Hence it is an effective method to bring about successful outcome of delayed union of long bone fractures after definitive fixation without adding any significant complication to the patient and the fracture site.

Background: Treatment of a pulseless pediatric supracondylar humeral fracture is controversial and varies from closed reduction percutaneous pinning to Surgical Exploration. Present study aimed to analyze outcome of Irreducible pulseless supracondylar fractures treated with Open reduction and exploration via anterior approach. in this prospective study of 7 patients Method: with pulseless Supracondylar fracture, 2 were treated by Close reduction percutaneous pinning and the other 5, irreducible on table by Open intervention. The later 5 cases were followed up at 3 weeks, 6 weeks, and 3 months and functionally assessed using MEPS. 3 cases Results: showed immediate return of pulse, 2 recovered within 6 hours. All cases at 3 months showed MEPS >90. Anterior approach is excellent Conclusion: for surgical decompression of the neurovascular bundle.

BACKGROUND There is no consensus about the best option of internal fixation for unstable intertrochanteric fractures of femur. This study aimed to evaluate the treatment effects of contra-lateral reverse distal femoral locking compression plates in unstable femoral intertrochanteric fractures as a viable alternative to intramedullary devices. MATERIALS AND METHODS A total of 30 cases with unstable femoral intertrochanteric fractures were treated with contra-lateral reverse distal femoral locking compression plates. The period from injury to operation was 3-10 days. RESULTS The intra-operative blood loss was 160.5 ± 80 ml and the operation time was 55 ± 20 mins. The fractures united within 12-24 weeks (average 16.4 weeks). According to the Modified Harris Hip Score, the results were excellent in 15, good in 12, fair in 2 and poor in 1 case. Excellent and good rate of clinical results were 90%. 2 cases developed trochanteric bursitis due to irritation by hardware. 1 case had plate collapse who was offered surgical option but sought no treatment for malunion. None of the cases had any implant failure, non-union and any surgical site infection. CONCLUSION Contra-lateral reverse distal femoral locking compression plate is an effective way for treating unstable femoral intertrochanteric fractures. However, early weight bearing should be avoided and judicious use of bone grafting wherever it is needed is recommended to achieve early union.