BACKGROUND Anterior glenohumeral dislocation is a commonly seen pathology in clinical practice of orthopaedic traumatology. This is a study of the functional outcome of arthroscopic Bankart repair in forty patients. MATERIALS AND METHODS Forty patients with posttraumatic anterior dislocation of shoulder were treated by arthroscopic repair from Jan 2012 to June 2104. Forty patients, with an average age of 28.96 years (range 20-40 years), were reviewed in the study. The average followup period was 6 months. University of California, Los Angeles Shoulder Rating Scale was used to evaluate the outcome after surgery. The scale takes into account the recurrence rates, range of motion, as well as postoperative function and return to sporting activities. RESULTS Thirty four patients (85.00%) had satisfactory results, whereas six patients (15.00%) had unsatisfactory results. Eighty five percent patients had stability compared with the normal-sided shoulder and were able to return to sports. There were no cases of redislocation observed in this study. CONCLUSION Arthroscopic Bankart repair using suture anchors to reattach the torn labroligamentous complex is a treatment method with good functional outcomes, reliable results and satisfactory postoperative shoulder motion with low recurrence rates.

Introduction: Reconstruction of large skeletal defects secondary to osteomyelitis remains a challenging problem. Free vascularized bone can be used to reconstruct large skeletal defects greater than 6 cm or bone defects of smaller size that failed to heal with nonvascularized bone grafting. There are only few case reports which describe it in such a young age group. Case report: We report a case of a 9 years male child with a right proximal humerus osteomyelitic defect treated with a vascularized fibular graft and plating with a 6 months follow up having a satisfactory functional outcome. Conclusion: Free vascularized fibula transfer is an efficient technique for exceptional cases of multi-operated and aseptic resistant non-union with bone defect of the humerus. The indications for vascularized bone grafting are skeletal defects greater than 6 cm or smaller defects that have failed to heal with nonvascular bone graft with a reported success rate of 77%-90%.

The aim of the present study was to evaluate the functional outcome, benefits and complications of open reduction and internal fixation of displaced proximal humerus fractures with proximal humerus locking plate. METHODS We studied the functional outcome of 40 patients aged between 15 to 65 years from September 2013 to February 2015, who had displaced proximal humerus fracture and underwent PHILOS plate fixation for the same. Fractures were classified according to NEER's and AO classification. Patients were followed up for a minimum period of 1 year. Functional outcomes and shoulder range of movement were assessed based on the Constant and Murley scoring system. RESULTS Patients were followed up for 12 months. All fractures healed satisfactorily; 12 weeks (27.5%) was the most common union time (radiological finding) in the study population followed by 8 weeks (22.5%) and 10 weeks (20%). Avascular necrosis was noted in 1 patient, mild infection in 2 patients and stiffness in 2 patients. The mean Constant score at 6 weeks was 40.39, at 12 weeks was 59.24, at 6 months was 73.88 and at one year was 75.62. Constant score continues to improve till 1 year. CONCLUSION Proximal humerus locking plate gives a reliable, stable fixation for fractures of proximal humerus with a good radiological union and good functional outcome.