Background: Young active patients with isolated medial compartment arthritis of the knee are not ideal candidates for Total knee arthroplasty. Hence there is a need for a procedure which would be ideally suited for the same. The aim of this study was to evaluate the role of Proximal fibular osteotomy (PFO) in the management of these patients and to compare the results with studies of other authors as available in literature. Methods: 30 patients with medial compartment arthritis of the knee who presented between January 2015 to January 2016 were managed with PFO and were followed up for a minimum period of two years. Results: There was a male preponderance seen in our study with the right knee being most commonly affected. Postsurgery, all our patients reported dramatic pain relief with the average preoperative Visual analogue score dropping from 6.9 to a value of 2.1 in the postoperative period. There was a significant increase in the modified oxford score from a preoperative score of 52.2 to 79 in the postoperative period. Conclusion:Through this study we conclude that PFO is an excellent procedure in the management of younger patients with medial compartment arthritis of the knee provided the proper indications for surgery are met.

Bimalleolar fractures are common injuries, and stable fracture patterns can be treated conservatively, while complicated, unstable fractures would require surgical intervention. This study aimed to evaluate the functional outcome following ORIF (Open reduction and internal fixation) of these fractures. This was a study of 30 patients with bimalleolar fractures who presented between January 2013 to January 2016 treated with ORIF with a follow-up period of 3 years. Functional outcome was performed with the AOFAS (American Orthopaedic Foot and ankle society) score. The mean age of the patients was 41.6 years. There was a female preponderance seen in our study with the left side being more commonly affected. The mean time to fracture union was 12.13 weeks, and we had excellent outcomes in 18 patients, good in 10, while two patients had a fair result. We did not lose any of our patients to follow up. All of our patients were happy with the functional outcome achieved. No significant complications were seen in our study. ORIF in bimalleolar fractures enables restoration of the ankle mortise to an anatomical position and facilitates early mobilization of the ankle resulting in good functional outcomes.

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Management of fracture non-union of the neck of femur is age specific and is quite demanding. There is a need to salvage the femoral head</span><span lang="EN-IN">in younger individuals which demands a procedure which suits the requirements. The aim of this study was to evaluate the role of valgus osteotomy with dynamic hip screw fixation</span><span lang="EN-IN">(DHS) in the management of these fractures and to compare the results with studies of other authors as available in literature</span>.</p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This was a prospective study of 15 patients with fracture nonunion of the femoral neck conducted between January 2012 to January 2013 with a follow up period of 3 years</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">There were 9 males and 6 female patients in our study with the right side being more commonly affected. The mean age of the patients was 45.2 years ranging from 36 to 58 years. All fractures united at the end of 6 months. Post operatively the mean Pauwels angle was 34⁰ while the neck shaft angle was 135.2⁰. There was a significant increase in the Oxford score from a mean of 20.4 preoperatively to 37.9 in the postoperative period. All patients were happy with the procedure and the functional outcome. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Valgus osteotomy with DHS fixation is a good option for the management of fracture nonunion of the neck of femur in younger patients where there is a need to salvage the femoral head and it gives good functional results.</span></p>

<p class="abstract"><strong>Background:</strong> Fractures of the proximal tibia involve a major weight bearing joint and are intra-articular injuries which frequently result in functional impairment. They require an accurate reduction of the articular surface with stable internal fixation. If these fractures are not managed appropriately, they often result in high rates of morbidity in the form of knee stiffness and arthritis. This study was done to assess the functional and radiological outcomes following various surgical modalities and to compare them with other studies as available in literature.</p><p class="abstract"><strong>Methods:</strong> 30 patients with tibial plateau fractures treated by various surgical modalities at Saveetha Medical College and Hospital were studied from January 2013 to February 2015 and were followed up for a minimum period of 6 months. Functional and radiological outcomes were assessed by the Rasmussens scoring system.<strong></strong></p><p class="abstract"><strong>Results:</strong> All 30 patients fulfilling the inclusion criteria were thoroughly evaluated and were taken up for surgery with various modalities of fixation which included cannulated cancellous screws, T and L buttress plates and locking compression plates. Articular surface elevation with bone grafting was done in depressed fractures. Early knee mobilization was started and strict non-weight bearing walking was advocated. We had a 90% acceptable functional result which was comparable with other studies.</p><p><strong>Conclusions:</strong> In our study, we conclude that accurate reduction of the articular surface with stable internal fixation and early mobilization with bone grafting in depressed fractures with protracted weight bearing till fracture union gives good functional results. Also radiological values often do not often correlate well with functional outcomes. </p>

INTRODUCTIONThe rising number of femoral neck fractures is well documented worldwide. The incidence of these fractures rises exponentially with age. This increase becomes significant from the age of 60 years in women and later in men. The rising number of fractures is due to the increasing longevity of the population.1 The majority of these fractures are due to a combination of age related factors, principally age related bone loss and trauma which is usually a simple fall and other causes are also seen as in fall from a height and road traffic accidents. They are often associated with high rates of morbidity and mortality Various treatment methods are available for the management of these fractures depending upon factors such as age of the patient, quality of the bone, type of fracture as per the classification, timing of surgery as well as the associated co morbid conditions which must be taken into account. Conservative management has largely been given up due to the fact that a prolonged period of immobilization and recumbency is associated with a high rate of morbidity and complications such as non-union, and is only reserved in cases where the patient has associated severe co morbid conditions where surgical management would not be possible. Internal fixation is the treatment of choice in young individuals where every effort should be made to preserve the femoral head. ABSTRACTBackground: Femoral neck fractures are common injuries in the elderly population and are associated with high rates of morbidity and mortality. The aim of surgical intervention in these elderly patients is to restore them to the prefracture status as rapidly as possible. The aim of this study was to evaluate the role of total hip arthroplasty as a primary option in the management of these fractures and to compare the results with studies of other authors as available in literature. Methods: 45 patients with femoral neck fractures treated with cemented total hip arthroplasty were studied from January 2011 to January 2013 and were followed up for a minimum period of two years. Results: There were 18 males and 27 females ranging from 60 to 75 years of age. Mean age was 64.6 years. Majority (80%) of the fractures were completely displaced, Garden type 4 fractures followed by type 3 in 20% of cases. The most common mode of injury was a simple slip and fall. Excellent results were seen in 17 patients, good results in 24 patients and fair results in 4 patients. No poor results were seen. Conclusions: Cemented total hip arthroplasty is a very useful procedure for the primary treatment of femoral neck fractures in elderly patients. This procedure markedly improves the functional status of the patients and gives good functional results.