Background: Fractures of distal end of radius are one of the most common skeletal injuries encountered in orthopaedics. There are various modalities for treatment like close reduction and cast application, external fixators, ORIF with plate etc. CR and cast application or K-wire fixation, external fixation is associated with immobilisation, wrist stiffness, loss of reduction postoperatively. So we performed volar plating for distal end radius fractures and calculated its results.Methods: We performed ORIF with plating (Volar approach) in 35 patients (22 male and 13 female) of distal end radius fractures depending on inclusion and exclusion criteria. Fractures were classified according to AO classification. All patients were operated under tourniquet. Results were analysed using Mayo score.Results: Out of 35 patients, 14 had type A, 16 had type B and 5 had type C fractures (AO classification). Average operative time was 45 minutes and blood loss of 50 ml. Average time to clinico-radiological union was 7 weeks. Average follow up time was 8 months. Average time to wrist mobilisation was 8 days. According to Mayo score, 16 patients had excellent results, 15 had well and 4 had satisfactory results.Conclusions: Volar plating for fracture distal end radius reduces chances of wrist joint stiffness and loss of reduction and good results can be obtained. So in our opinion, volar plating for treatment of fracture distal end radius is good method with excellent outcomes.

Background: Loss of carrying angle at elbow (Cubitus varus) remains one of the commonest complications of supracondylar fractures. Despite the numerous ways are described of treating supracondylar fractures, cubitus varus remains a significant problem. It can only be prevented by achieving and maintaining accurate reduction. Cubitus varus deformity is not a functional problem, but it may become so disfiguring that correction is indicated.Methods: A total of 10 cases of cubitus varus deformity were treated with modified French osteotomy outcome was measured with by the method of Oppenheim WL, Clader et al.Results: In this study 10 cases treated with modified French osteotomy. In the present study 70% cases were female. All the patients were in the age group of 6-13 years. The average correction of carrying angle was 5.7 0 of valgus. All the patients were having nearly normal range of motion of the affected elbow. Only one patient suffered radial nerve injury. There was no infection or hypertrophic scar or non-union. The study showed result in the form of excellent - 70%, Good - 20% and poor - 10%.Conclusions: Modified French method proved safe and satisfactory as it has improved anatomy and cosmetic results. Loss of correction of cubitus varus deformity does not occur. A proper cases selection and proper planning of osteotomy, attention to the technical details is crucial to the success of supracondylar osteotomy of the humerus for correction of cubitus varus.

A journey of a young man started from day one in the hospital. When he came with the traumatic paraplegia, no doubt a paraplegic has to face a lot of challenges in his life when he came to know that his both legs are not working. He became bedridden and his moral is also become down for his future planning. But we accept the challenge, a team work by an orthopaedician and a physio-occupational therapist make it little easier. Postoperatively we prefer to offer rehabilitation through community base programme. Inspiration of hospital environment and equipment are going to help him for such kind of programme he accepts the challenge, basic aim of providing this programme is to reduce duration as well as incurred monitor losses. Special attraction of this case report is homemade bicycle, which served the purpose of providing repetitive rhythmic mobilisation of bilateral lower limbs which facilitates normal pattern of ambulation. Now he is ambulatory and goes back to his work. So, a person with spinal cord injury involved with their community with a little modification in his activity and equipment is worth for him. Traumatic paraplegia offers a big challenge to physio- occupational therapist due to long term recovery it takes.  For Such patients on regular follow up till complete recovery, we preferred community based rehabilitation. This made him independent and incurred reduced monitory losses.

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Background: Fracture patella accounts for around 1% of all skeletal fractures. It is basically of 2 types: displaced fracture and un displaced fracture. It mainly occurs due to direct blows to the knee joint such as car accidents, injuries, or direct falls on the ground with bent knees. Management of these fractures varies from cylindrical cast application to surgical management for displaced fractures. This study focuses on the functional evaluation of fracture patella managed with tension band wiring. Materials and Methods: 17 patients with displaced transverse patella fracture managed with tension band wiring were included in the study. An interventional study was performed in AVBRH hospital Wardha between 2017-2019. Operated patients were followed up at one month, two months, and three months for functional assessment. On every follow-up, x-ray was taken to assess the union and implant positioning. Observations and Results: 41.47 were the mean age (in years) of patients participating in the study. In the study, 17 patients participated, 13 were males (76.47%) and 4 were females (23.53%). Comminuted and oblique fractures were excluded from the study. Out of 17 patients at final follow up, 70.58% patients had excellent results, 29.42 percent had good results, and no patient had a poor functional outcome. Conclusion: Tension band wiring of fracture patella yields better fun outcomes outcome and an inexpensive method of managing fractured patella. Early knee mobilization and knee range of motion exercises should be started to avoid quadriceps muscle wasting.

Background: A larger than normal range of motion in the spinal segment defines lumbar segmental instability, which is a sort of aberrant motion to physiologic stressors. Clinical complaints and signs such as low back ache or radiculopathy, as well as Kotilainen and Valtonen's three criteria for instability (painful catch, instability catch, and apprehension) will be correlated with an MRI investigation to determine lumbar spinal instability. Disc degeneration and facet degeneration along with soft tissues supporting spinal motion segment are important provocative factors for lumbar spine instability. The existence of lumbar instability must be identified since it can alter the treatment approach and patient prognosis. Objective: To evaluate clinical signs and symptoms in patients with Lumbar spinal instability, as well as to investigate radiological signs using X-rays and an MRI scan. Methods and Materials:  In this study in which patients with history suggestive of Lumbar spinal instability will be evaluated clinically and radiologically. Patients of age group of 25-75 years will be included in this study. Clinical tests, static and dynamic Xrays and MRI scan will be studied. Expected Outcomes: By this study we can expect clinico–radiological co relation in patient with low back ache in lumbar spinal instability. Outcome data will be assessed on Clinico-radiological Criteria of Lumbar Instability and clinic-radiological correlation will be done.

Aneurysmal bone cysts are blood-filled lesions of the bone that are benign, expansile, aggressive, and locally damaging. They havean atypical presentation and an unknown etiology. We present the case of a 17-year-old male youngster who appeared with a historyof trauma that resulted in a pathological left femur fracture. A subtrochanteric fracture complicated a slowly forming aneurysmalbone cyst in the proximal femur. Excision of the tumor with curettage and open reduction with internal fixation with a titanium elasticnail were successful treatments, and the empty space was replaced with bone graft from the left iliac crest. The gold standard fordiagnosis is a biopsy. Bone grafting should be used in conjunction with fracture fixation to achieve bony union.

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