Background: Management of fractures of distal end radius has remained a controversial issue. They are treated via a variety of methods, but the best of treatment has not been defined yet. This study was performed to evaluate functional and radiological outcomes of volar locking plate in surgical management of such fractures. Material and Methods: In this prospective study 30 patients aged above 18 years of fracture distal end radius were treated with open reduction and internal fixation with volar locking plates, followed by early mobilization. Patients were followed up regularly and functional assessment were done at 3 weeks, 3 months and 6 months using modified Mayo wrist score. Results: Radiologically all patients had union at 3 months. 66.67% patients had excellent, 23.33% good and 10% showed satisfactory results on modified Mayo wrist score. No major complications were observed in the present study. One patient developed superficial infection which was resolved with serial dressing and broad spectrum antibiotics. Two patients developed hypertrophic scars. Two other patients developed asymptomatic hardware prominence (plate on radial border). Conclusion:Locking compression plate provides stable fixation for early mobilization of patient, leading to early resumption to pre trauma functional level of an individual with minimal complications.

Objective: To investigate relationship between serum hyaluronic acid (sHA) level and the presence and severity of radiographic knee osteoarthritis (OA) as well as degree of knee pain. Design: A total of 150 subjects (75 controls and 75 cases) were enrolled in this study. Based on the Kellgrene Lawrence (K-L) grade, participants were radiographically classified into three groups: mild (K-L grade1 & 2), moderate (K-L grade 3) and severe (K-L grade 4). The degree of knee pain was quantified by WOMAC knee pain score. sHA levels were compared among the controls & cases and with radiological grading. In addition, the correlation between sHA level and the degree of knee pain was analyzed in each group. Results: In relationship between sHA level and the severity of radiographic knee OA, sHA level of the case group was significantly higher than in the normal group (P< 0.001). Furthermore, sHA level correlated with the severity of radiographic knee OA (r = 0.880). sHA level had positive correlation and significant association with WOMAC knee pain in study groups. (r = 0.750, P<0.001) Conclusion: sHA level has the potential to be useful for the diagnosis and prognosis of the severity of primary knee OA.

Various treatment methods have been described for the treatment of intertrochanteric fractures. We present our experience with proximal femoral nail with helical blade in the management of intertrochanteric fractures at SGT Medical College Hospital and Research Institute, Gurugram. Methods: This study was conducted from October 2018 to April 2020 and included 30 patients above 18 years presenting with intertrochanteric fractures of femur managed by proximal femoral nail with helical blade. Clinical and Radiological evaluation of the patients was done at 6,12,18 and 24 weeks. Functional outcome was assessed according to Modied Harris Hip Score and was graded excellent, good, fair or pair as per the score. Results: The average age of patients in the present study was 58.16 years with slight male preponderance. The average operating time in the present study was 71.8 minutes. The average time of union was 18 weeks, with one case of implant failure and two cases of delayed union. average value of Neck-Shaft Angle in our study was 128.26 and the average Tip-Apex Distance (TAD) was 21.63mm. There was a case each of supercial infection and varus collapse. The average Modied Harris Hip score in present study was 90.5 with a range of 78-99, excellent in 63.33% patients, good in 26.66% of the patients and fair in 10% of the patients as per the Modied Harris Hip scoring system.

Low back pain (LBP) is one of the most common health problems affecting 75% to 85% of the general population. Young adults are suffering from LBP more frequently than in the past, where loss of working days is a great personal and national loss. This study aims to determine the correlation of clinical features with plain radiograph and Magnetic resonance imaging (MRI) ndings in adult males of 20 to 30 years age group. 100 male patients with acute or subacute low backache were enrolled in the present study. Personal details and history noted and clinical examination was performed. The Oswestry disability index was used for quantication of pain. Plain radiograph and MRI was done. The plain radiograph and MRI ndings were correlated with the clinical ndings. The mean age of patients was 25.18±3.28 years. Sensory loss was found in 15% and paraesthesia in 18% cases. The mean Oswestry lower back pain score was 16.66±10.44. The most common abnormality found on plain radiograph was abnormal disc intensity followed by reduced disc height. The most common abnormality found on MRI was disc bulge followed by abnormal disc intensity. The most common site for osteophytes was anterior of L4 vertebral body followed by anterior of L3. There was a poor agreement between clinical ndings and radiological ndings. Both plain x-ray and MRI imaging found a signicantly higher rate of spine changes which did not correlate well with clinical & neurological ndings

Background: The subtrochanteric fractures accounts for 10-34% of hip fractures. Operative treatment is gold standard in adults in view of anatomical location, deforming forces & vascularity issues. Intramedullary device are less invasive, more biological & mechanically stable whereras extramedullary methods achieves better anatomical reduction but at the expense of vascularity. However, there is still no consensus over the methodology for being the best for these fractures. Objective: To evaluate clinical, functional and radiological outcomes of intramedullary osteosynthesis of subtrochanteric femur fractures in adults with long PFN. Methods: A prospective randomized control study was conducted on total 30 patients of subtrochanteric fractures and treated with long proximal femoral nail (PFN). All the patients were followed up for a maximum of 24 weeks. Outcomes were observed & analysed such as tip apex distance, duration of surgery, complications, functional and radiological outcomes. Results: The average age of patients was 43.6 years ±13.26. Left sided fracture were more than right sided fracture. The most common type of fracture as per AO-ASIF classication was 32-C3 (53.33%). In 21 patients compression screw used was 95mm or above. Derotation screw of size 85mm or above were inserted in 19 patients. Mean TAD of compression screw and derotation screw was 11.59 and 13.81 respectively. Closed reductions was achieved in 27 patients. Mean surgical time was 157 minutes. Mean radiological union time of fracture was 14.16 weeks. Mean Harris hip score at 24 weeks was 84.56. Conclusions: It is concluded that intramedullary xation by long PFN is a sound and effective modality for the subtrochanteric fractures. Subchondral xation of both proximal screws probably has led to better stable xation with hundred percent union rates and no implant failure.