This study reviews the results of Surface Replacement Trapeziometacarpal (SR TMC, Avanta, San Diego, CA) total joint arthroplasty. Fifty patients (62 joints) were included in the study. Forty-three patients (54 joints) were seen at final follow up. Seven patients (eight joints) were interviewed over the phone. Seven patients were revised to trapeziectomy and ligament reconstruction with tendon interposition, five for aseptic loosening and two for dislocation. At final follow up, the mean Quick DASH score was 30.4 and the Sollerman Score was 77.3. Radiological review of the surviving 55 joints showed subsidence of four trapezial components in asymptomatic patients. Cumulative survival rate was 91% at 3 years. Eighty-five percent of the patients were satisfied with the outcome of their treatment.

Introduction: Venous thromboembolism (VTE), which consists of deep vein thrombosis (DVT) and pulmonary embolism, is a potentially fatal condition. According to the Western literature, DVT of lower limb veins is one of the most common complications following surgeries for lower limb fractures and arthroplasty. Very few studies have been published from India on the subject and very little is known about the true prevalence in India. Material and Method: A study to determine the prevalence of DVT and its complication was done from September 2011 to June 2013 in 125 patients with lower limb trauma in Dhiraj General Hospital Piparia which is a tertiary care centre in a rural area. Results: In our series of 125 patients, 107 were male and 18 female (M: F=5.9:1). Out of them 6 patients were DVT positive (4.8%). Amongst them 3(2.4%) had proximal DVT and 3(2.4%) had distal DVT. Only 1 had pulmonary embolism. Out of 47 patients with periacetabular fractures, 4 (8.51%) developed DVT and Out of 8 patients with floating knee injury, 2 (25%) developed DVT. Combination of risk factors rather than a single risk factor had played important role for development of DVT in our study. Conclusion: Prevalence of DVT is low in Indian population thereby avoiding the need for chemoprophylaxis in all patients. However based on fracture geometry and co morbid conditions chemoprophylaxis may be justified in few individuals.

Planning is a key step in all surgeries. Well-planned cases have better outcomes than the unplanned ones. The conventional planning used to be done on radiographs and other imaging. Three-dimensional D printing using additive manufacturing process has taken this a step further. The process involves converting the radiographic digital formats into machine-printable format. The three-dimensional model is typically made of a plastic material that allows surgical simulation.In complex arthroplasty, especially those such as revision scenarios or difficult primary cases such as dysplastic hips, protrusio, fused, or posttraumatic arthritic hips, these models serve as an invaluable tool in planning the surgery. They help reduce inventory by facilitating optimal implant and instrument ordering, and also serve as intraoperative referencing. "y performing surgical simulations preoperatively, the surgeons can rehearse their surgical steps and also decide upon the implant type and accurate implant placements.

Introduction & Aims TKA in more active and young patients has prompted the interest in more durable and biological methods of Osteo-integration with cementless components. With the emergence of improved biomaterials like porous titanium and the success, search for a cementless TKA with long-term durability and survivorship may have ended. This is a retrospective study of 492 consecutive TKAs using Cementless tibial fixation, reporting on the early 4 years clinical and radiological outcomes. Method We studied 492 TKAs performed consecutively by a single surgeon between 1stJan. 2010 and 31stDec. 2015 using a cementless, fixed bearing tibial tray (porous–Regenerex, Vanguard, Zimmer-Biomet) and a cementless femoral component (Vanguard) with no exclusion criteria. Clinical and radiological follow-up was done on these patients and in addition a comprehensive joint registry review was performed on the whole cohort (Level II evidence). Results  The average Knee Society Score at final follow-up was 89.33, average pre-op being 42.06. Average post-op WOMAC score was 43.45 and average pre-op was 77.78. On radiological examination, no patients had osteolysis around tibial base plate. In our series 9 patients were revised, out of which only 4 patients had the tibial tray and femoral component revised and 5 patients had patella resurfacing or liner exchange. Overall survivorship of the cementless tibial component is excellent with a survivorship of 99.4% at 5.9 years based on a comprehensive AOANJRR data. Conclusions Cementless tibial fixation using a porous titanium construct  can provide stable bone ingrowth fixation on the tibial side with excellent and predictable early 4 to 5 year clinical and radiological outcomes.

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