Background : Distal femoral fractures comprise approximately 3%–6% of all femoral fractures. The associated mechanism of injury can be of high or low energy. Surgery is the standard mode of treatment aiding for early weight bearing and mobilization is required in order to prevent longterm complications due to prolonged bed rest. Open reduction and internal xation using extra-medullary implants have been the standard treatment for supracondylar fractures, irrespective of age group with high complication rates including delayed union; implant failure, and infection. Transmedullary nail offers a potential biomechanical advantage over side plates and screws because of intramedullary location; resulting in less stress over the implant and better stress distribution than with eccentric side plate and screws.6 While both techniques are considered standard , the merits and demerits of each technique may be different; leading to better results or alignment using one over the other. This study aims at comparing the two xation methods. A total of 70 patients who met the inc Materials and methods: lusion criteria were included in the study and were divided into 2 groups- Group A comprised those patients treated with Retrograde Nailing (n=35) while Group B patients were treated with Distal Femur Locking Compression Plate(n=35). All post-operative patients were evaluated at 2weeks, 4weeks, 3 months and 6months. Results and conclusion: It was found out that the mean Range of Motion (ROM) evaluated at 6 months was 119.85 (-+21.11) degrees for the RN group while it was 110.0(-+18.85) degrees in the DFLCP group and was statistically signicant with p=0.044 , also the functional outcome assessed by AKSS was statistically signicant (p=0.03) favoring the RN group over the DFLCP group. Similar signicant outcomes were obtained in terms of duration of surgery and amount of blood loss favoring RN group . The radiological union time for RN group was 12 weeks compared to 13.21 weeks in case of DFLCP group , but was not statistically signicant (p=0.100). Hence , distal femur fractures especially the extra articular type had good outcome when treated with RN compared to DFLCP , when intervened early and coupled with adequate post operative physiotherapy.

Aim and Objectives : To assess the mode , pattern of injury and burden of traumatic patients in emergency department of level 1 trauma center, on a specic festival . This was an epidemiological study conducted on an utta Materials and Methods : rayan festival ( 12 January to 16 January 2023 ) with patient attending in emergency department , Institute of traumatology and Orthopedics, Sawai Man Singh Hospital, Jaipur, Rajasthan . Study group consisted of 670 patients . Inclusion criteria: injured patients of all age groups who were directly associated with festival in form of injury by thread of kite ( cut by manja ) or fall from height while ying kite on festival , attending in emergency department . 602 ( Results & Discussion: 89.85 % ) patients were injured by thread of kite (cut by manja) and 68 (10.15 %) patients were injured due to fall from height while ying kite . Ratio of male : female was 2.9:1, study shows male predominance and maximum patients (39.40 %)were injured in 16-30 years age group. Common mode of injury was cut by manja and belong to green category which were treated in emergency minor OT and discharged. 27 ( 4.02 % ) patients belonged to red category, 9 injured by thread of kite and 18 injured due to fall from height . All 27 patients required admission after primary assessment and 7 needed urgent surgery, (4 patient cut by manja and 3 fall from height) , 2 patient survived and 2 expired ( within 48 hour ) after surgery due to deep neck cut (red category). 11 patients were brought dead . Patients having deep neck cut by thread belong to red and Black category, age of all patients were below the 10 years. Patient with history of fall from height were from all age groups. we can Conclusion: decrease the number of cases in festival epidemic by wearing helmet , tie scarf around neck , avoid child sitting in front of bike rider and creating awareness among population regarding such festive epidemics, one can decrease burden of trauma patients landing up in emergency department .

Background: As with all intraarticular fractures, malleolar fracture necessitates accurate reduction and stable internal xation. Undisplaced medial malleolus fractures can be treated conservatively. Various surgical modalities are now available for internal xation of such fractures. This study aims at comparing the two common xation methods. A total of 50 patient Materials and methods: s who met the inclusion criteria were included in the study and were divided into 2 groups- Group A comprised those patients treated with tension band wiring(n=25) while Group B patients were treated with malleolar screw xation(n=25). In cases of bimalleolar fractures, lateral malleolus was xed with one-third tubular plate. All post-operative patients were evaluated at 2weeks, 6weeks, 12weeks, and 6months. The mean t Results and conclusion: ime to radiological union was 9.32weeks in group A and 12weeks in group B with a highly signicant p-value. The nal functional outcome was compared by Modied Olerud & Molander Score. 23 (92%) cases in group A and 20(80%) cases in group B had excellent to good results (P=0.007). Tensionband was technically more advantageous than malleolar screw and hence provided earlier bone union and better functional outcome