Background: Knee osteoarthritis (OA) is a cause of considerable pain and disability in the affected individuals. Proximal Fibular Osteotomy is a straightforward and comparatively new surgery that results in pain relief and maintenance of joint space in osteoarthritis. It is a day care procedure that helps in realigning the knee joint and may result in delay of knee replacement by a decade or in some cases even longer. Materials and Methods: 20 adult patients (25 knees) with medial compartment knee osteoarthritis admitted in Silchar Medical College and Hospital (SMCH) and treated with Proximal Fibular Osteotomy between June 2018 to May 2019 were included. Preoperative and postoperative weight bearing radiographs are taken to evaluate the medial joint space. Visual Analogue Score and American Knee Society Score were used to assess knee pain and knee ambulation activities, respectively. Results: It was observed that all patients experienced pain relief following proximal fibular osteotomy. Weight bearing lower extremity radiographs showed an average increase in the postoperative medial joint space. Additionally, correction of lower limb alignment was observed in eight patients. Conclusion:Proximal Fibular Osteotomy is a simple, cost effective procedure which significantly reduces knee pain and improves joint function in medial compartment knee osteoarthritis.

Background: In bipeds, the hips have the great responsibility of transmitting the ground reaction against the body weight, while at the same time preserving mobility. Anthropometric study of hip joint has important clinical associations and the study is largely unknown for Southern Assam region of India. Since the anthropometric parameters for southern Assam population is lacking, the common implants which are designed for western are being used for the Indian patients. The goal of our study was to Compare the Anthropometry of the Hip Joint of southern Assam with other global studies using eight (8) parameters viz. Neck-shaft Angle (NSA), Head Diameter (HD), Neck Width (NW), Acetabular Angle (AA) of Sharp, Horizontal Offset (HO), Vertical Offset (VO), Medullary Canal Diameter at the level of lesser trochanter, and Acetabular version (AV) using CT scan. Materials and Methods: It was a single hospital based observational study. Normal hip joints were analysed after ethical committee clearance. Proximal femur scanning was done with the help if computed tomography. Neck-shaft angle (NSA), neck width (NW), head diameter (HD), acetabular angle (AA) of sharp, horizontal offset (HO), vertical offset (VO), medullary canal diameter at the level of lesser trochanter (MDLT), and acetabular version (AV) were measured. SSPS software was used for data analysis. Parameters were tabulated and compared with various populations and statistically analysed. Results: Two hundred individuals (400 hips) with a normal hip joint were included in this study to analyse. The mean values were NSA 132.6°, NW 28.59 mm, femoral HD (HD) 41.0 mm, AA of sharp 34.93°, HO 39.34 mm, VO 45.34 mm, MDLT 22.58 mm, and AV 20.60°. The values differed when compared with Western population and with other Indian studies done in South and Northeast Indian population. Significant differences were also observed in the parameters between sexes and between the sides of the hip joint. Conclusion:The study revealed that there were significant differences exists in anthropometric parameters of hip joint among the southern Assam population when compared to that of Western literatures and also vary from region to region in other parts of India. Moreover, the data may be used as a reference data for the normal anatomical alignment during treatment. The data may provide help to perform further studies in different parts of India.

Pott's paraplegia is still prevalent in this part of the world. Early onset paraplegia can be improved by timely surgical intervention under ATT cover. The disease mostly affects the thoraco-lumbar spine. Classically, the diseased area is addressed by anterior thoracic or thoracolumbar approach and after curettage of the diseased and necrotic material the anterior column is reconstructed by rib or fibular strut graft or metallic cage and supplemented by posterior instrumentation and fusion. Laminectomy, as a method of decompression, was greatly discouraged in spinal tuberculosis with compressive myelopathy except in posterior element involvement. We present a case of a 35 years old lady with Pott's paraplegia treated by hemilaminectomy and transpedicular limited anterior decompression of the cord and pedicle screw fixation with fusion who improved vastly in terms of motor power.

Introduction: Osteoid osteoma mainly occurs in long bones (75%) and represents 2 to 11% of all bone tumors of foot and ankle and, most commonly, in talus. Here, we present a case of osteoid osteoma of neck of right talus, which was presented as chronic ankle pain and was treated with curettage and cancellous bone graft.Case report: A 19-year-old patient presented to us with chronic right ankle pain on anteromedial aspect of dorsum of right ankle with difficulty in walking. Plain radiograph of right ankle joint revealed sclerosis in neck of talus. Both computed tomography (CT) and magnetic resonance imaging (MRI) were suggestive of osteoid osteoma involving superior aspect of talar neck. An incision was made over anteromedial aspect of dorsum of right ankle. Curettage was done and cavity was filled with cancellous bone graft from iliac crest. Patient was advised nonweight bearing for 4 weeks and physiotherapy.Discussion: There is difficulty in diagnosis of osteoid osteoma of talus. The time delay in diagnosis is about 2.5 to 10 years. In our case, it was about 4 years. Radiograph features include small radiolucent area (nidus) with surrounding sclerosis. A CT is the best method for diagnosis. Rashid et al 5 had done subtalar arthrodesis with curettage. Assafiri et al had done arthroscopic resection. In our case, we performed curettage and cancellous bone grafting. Conclusion:A high index of suspicion of this disease should be held while treating patients with chronic ankle pain. A CT scan is the best method to identify the nidus. Although multiple treatment modalities are available, open resection with curettage and cancellous bone graft showed good result in our case.

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