Introduction: Osteoarthritis of knee is more common among all types of arthritic conditions. High tibial osteotomy is an accepted surgical technique for treatment of medial compartment arthrosis of knee in younger patients. Selection of the appropriate patients, extensive pre-operative planning and accurate surgical technique are essential for successful outcome. The methods of high tibial osteotomy include open wedge osteotomy and closed wedge osteotomy, the later procedure being more popular. Aims and Objectives: To assess the functional outcome among patients undergoing high tibial osteotomy. Methodology: A hospital based prospective interventional study was done on 30 patients of osteoarthritis with varus deformity. For all the 30 patients after a proper preoperative assessment the surgical intervention in the form of high tibial osteotomy was done and the outcome was evaluated using knee society scoring system. Results: Among the study population 73.3% of the patients had grade III type of osteoarthritis and only 26.6% had grade IV type of osteoarthritis based on Kellgren and Lawrence type of classification. The mean knee score and the mean functional score of the patients before surgery were 54.6 and 53.9 respectively and post operatively at the end of 12 months the knee score and functional score was 83.1 and 82 respectively. A statistically significant improvement was seen in both the knee society score and the functional score. Conclusion:The main improvements seen in this study was the increase in the knee score and functional score after high tibial osteotomy for the patients of osteoarthritis with varus deformity. Appropriate patient selection, proper osteotomy types and precise surgical techniques are essential for the success of high tibial osteotomy.

Background: The carrying angle is acute angle between median axis of the upper arm with fully extended and supinated forearm. It is important to know the carrying angles of both elbows in the evaluation of deformities around the joint which may guide the management protocol. Method: This cross-sectional study was conducted on120 children's in out-patient department at Mandya Institute of Medical Sciences, Mandya (Karnataka), India. Results: For the purpose of analysis two set of age groups were made. The groups were 5-12 years and 13-18 years. Carrying angle was more in females and on right side. Positive correlation was found between carrying angle with various parameters measured. Conclusion:The result of the study could be useful in the management of elbow displacement, fractures and surgical planning for elbow reconstruction.

Introduction:The selection of a prophylactic regimen involves a balance between efficacy and safety. Surgeons are particularly concerned about bleeding because it can lead to hematoma formation, infection, a reoperation, and a prolonged hospital stay. The selection of a prophylactic agent is also influenced by the more frequent use of regional anesthesia. Methodology: The total cases include 51 cases of total hip arthroplasties, 40 cases of knee arthroplasties and 10 cases of hip hemiarthroplasty. The indications for hip arthroplasties in this study include fracture proximal femur, avascular necrosis, secondary or primary osteoarthritis. Knee arthroplasties had been performed for either primary osteoarthritis or rheumatoid arthritis patients. A thorough detailed history regarding factors that influence DVT incidence had been elicited from all patients. Results: One hundred and one patients who underwent joint replacement surgery for various indications have been included in our study. There were 58 women and 43 men in our study. Eight patients in our study had sonographically proven deep vein thrombosis. Two among those had developed pulmonary embolism as a sequel to DVT. One patient had a fatal pulmonary embolism and died on the 6 th postoperative day Conclusion: Deep vein thrombosis is no longer to be considered a rarity among Indian patients.

The objective of study aimed to document bilateral variability in the mean Q angle and to study whether there is any difference of the above findings in males and females. Materials and Methods: One hundred healthy adult volunteers were studied. The Q angle was measured using a goniometric method with the subjects supine, quadriceps relaxed and lower limbs in neutral rotation. Appropriate statistical tests were used to determine the bilateral variability in the Q angle. Results: Of the 100 subjects included in the study mean age observed was 30.63+/-6.89 and mean Q angle of 16.20+/-4.45 and 15.12+/-4.34 on right and left side respectively. On comparing the Q angle between the right and left side of same sex, and between either sex was found statistically insignificant. Conclusion:The present study may not have any direct clinical applications, it is likely to be useful in explaining differences in the Q angle on either side of both sexes.

Introduction:The following study was conducted to examine the short term clinical and radiological results particularly early complications and healing rate of distal femur fracture treated with distal femur LCP. Materials and Methods: The study was conducted in patients treated for distal femur fracture (type A, B & C -AO classification) at Mandya Institute of Medical Sciences, Mandya from month of Nov 2015 to Oct 2017. Forty distal femur fracture patients in this study, were fixed with DF-LCP with Bone grafting where the distal femur fractures were associated with extensive bone loss. Patients' age ranged from 18 to 80 years with mean of 49. Results: The sample consisted forty patients, 23 were males and 17 females. The patients' ages ranged from 18 -80 years with mean of 49 years. The causes of fractures were motor vehicle accident in 26 patients and fall in 14 patients. 27 fractures involved the right side and 13 involved the left. The average hospitalization was 15 days with a range of 10 to 20 days. The average number of days from injury to surgery was 5 days with a range of 02 to 07 days. Functional outcome was rated as per NEER'S RATING SCORE, we got excellent results in 18 cases, good in 14, fair in 06 and poor in 02 patients. Conclusion:The distal femur LCP with accurate positioning and fixation is a good implant to use for fracture of distal femur. We recommend use of this implant in Type A, B, C and osteoporotic fractures with satisfactory results. In our study, we found excellent results in type C and osteoporotic fractures, however, long term studies are needed to prove definitively acceptable outcomes so that this technique can become part in the armamentarium of the orthopedic trauma surgeon.

Introduction:The selection of a prophylactic regimen involves a balance between efficacy and safety. Surgeons are particularly concerned about bleeding because it can lead to hematoma formation, infection, a reoperation, and a prolonged hospital stay. The selection of a prophylactic agent is also influenced by the more frequent use of regional anesthesia. Methodology: The total cases include 51 cases of total hip arthroplasties, 40 cases of knee arthroplasties and 10 cases of hip hemiarthroplasty. The indications for hip arthroplasties in this study include fracture proximal femur, avascular necrosis, secondary or primary osteoarthritis. Knee arthroplasties had been performed for either primary osteoarthritis or rheumatoid arthritis patients. A thorough detailed history regarding factors that influence DVT incidence had been elicited from all patients. Results: One hundred and one patients who underwent joint replacement surgery for various indications have been included in our study. There were 58 women and 43 men in our study. Eight patients in our study had sonographically proven deep vein thrombosis. Two among those had developed pulmonary embolism as a sequel to DVT. One patient had a fatal pulmonary embolism and died on the 6 th postoperative day Conclusion: Deep vein thrombosis is no longer to be considered a rarity among Indian patients.

Reporting a case of traumatic, simultaneous right anterior and left posterior hip dislocation with associated fractures, due to an impact of high velocity traffic accident in a 68 year old male. Closed reductions of both hips were successfully performed. The mechanism of this injury is discussed.

Introduction: Our objective was to evaluate clinical results and functional outcomes of extra-articular distal tibia fracture treated using anatomical osteosynthese by minimally invasive percutaneous plate osteosynthesis (MIPPO) technique. Materials and Methods: 30 patients of closed distal tibial extraarticular fractures operated by MIPPO technique from November 2018 to October 2019 with age from 20 to 60 years with or without fibula fracture upto 5 cm proximal to distal tibiofibular syndesmotic joint were included in the study. Clinical and radiological assessment for fracture union were performed at 3 weeks,12 weeks and 24 weeks interval and results were analysed by using AOFAS Ankle-Hind foot scale. Results: Thirty patients were followed for 6 months with mean fracture healing time was 16 weeks (12-60 weeks). 14 patients had excellent results with AOFAS score with two patients (6.7%) had delayed union and one patient (3.3%) developed superficial infection but fractures united completely. Conclusion:Minimally invasive percutaneous plate osteosynthesis technique is an effective method of treatment for distal tibial fractures, it provides good, stable fixation with minimal complications.