The technique is well suited for the management of complex fractures of the proximal tibia (Schatzker VI) when extensive comminution at the fracture site and compromise of the soft tissue is present.

Introduction: Knee joint is a major weight bearing synovial joint. In frontal radiograph we can see asymmetrical joint spaces between femoral and tibial components due to asymmetric wear and tear. Articular surfaces of tibial and femoral condyles are also asymmetrical. In frontal radiograph, the tibial condylar articular surface can be seen projected outside laterally or medially with respect to lateral or medial femoral condyle. Objectives: To measure tibial and femoral articular surface asymmetry. Measurement of tibial and femoral joint space. Materials and Methods: This epidemiological study was conducted in Orthopaedic outpatient department (OPD) of Ramakrishna Mission Seva Pratishthan Kolkata. Total 350 patients were selected. Frontal standing radiograph of both knees with 100% magnification were obtained. Tibial condylar asymmetry and joint spaces were measured with calliper. Height and weight measurements were also done. Statistical analysis was done. Results: In right knee 96% patients lateral tibial condyle was projected outside with respect to femoral condyle. In 9.3% patients' medial tibial condyle was outside. In left knee 92.6% patients lateral tibial condyle was outside and 15.7% patients' medial tibial condyle was outside. In right knee lateral joint space was mean sd= 4.45 1.06, medial joint space mean sd= 1.70 94. In left knee lateral joint space was mean sd= 4.59 1.00, medial joint space was mean sd= 1.76 1.00. Conclusion:In this study, in most of the patients we found tibial and femoral articular surface asymmetry mainly in lateral side. In joint space measurement, we found that medial joint space was less than lateral joint space in both knees.

Background: Osteoarthritis (OA) knee is one of the most prevalent musculoskeletal disorders in elderly population. It has got various treatment options but most are unsatisfactory. In recent years Platelet-rich plasma (PRP) is emerged as a promising treatment modality and classied as “Orthobiologics”. PRPenhances tissue recovery, by catalysing the body's natural healing response and tissue repair process. Aim And Objectives:Tocompare the efcacies oftreatmentwithPRPinjectionandconservative treatmentwithNSAIDSandexercise inOAknee. Materials And Methods:This was a observational study in which comparisons of different outcomes were made on the efcacies of the treatments with PRPinjection and compared to conservative treatment with NSAIDS and exercise in OAknee. The study was conducted in the Department of Orthopedics in Ramkrishna Mission SevaPratisthan. Atotal number of 60 patients with power 80% were randomly selected from the patients with OA attended OPD during the period from June 2019 to June 2021. The patients were divided into two groups of 30 patients in each group. The patients of the one group were treated with intra-articular PRPinjection and the patients of another group were treated conservatively with NSAIDS and exercise. After the completion of treatment, the patients were followed-up for 1 year and the outcomes of the treatments were assessed by WOMAC (The Western Ontario and McMaster Universities Osteoarthritis Index) knee assessment scoring system. Results:At 1 year the completion of treatments it was found that both clinical and functional improvements of the patients were signicantly better than the initiation of treatments (p<0.0001). However, the improvements of the patients treated with PRPinjection were signicantly better than the patients treated conservatively with NSAIDS and exercise (p<0.001). Conclusion: From the results of the study it may be concluded that PRP injection is better than conservative treatment with NSAIDS and exercise to treat OAknee