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Fungal prosthetic joint infection is rare, and two-stage revision is usually advocated. We present our experience with 2 cases of fungal prosthetic knee joint infection presenting 25 months and 3 years after index surgery. Both patients were managed with single-stage revision arthroplasty and fluconazole monotherapy. They remain asymptomatic with good knee society score after 2 years of follow-up. Preoperative workup of all aseptic loosening cases should include extended culture for fungal elements. Single-stage revision with antifungal therapy for 3 months gives good results in nonimmunocompromised patients with good soft-tissue envelope.

Osteopoikilosis presents as round or ovoid sclerotic lesions with an appearance like enostosis on pathology. Synovial osteochondromatosis occurs due to cartilaginous metaplasia with synovial villous proliferation with calcified nodules in proximity to joints. A case of osteopoikilosis associated with synovial osteochondromatosis is described. Intraosseus and juxta osseus sclerotic bone lesions were identified on radiographs and computed tomography in a patient with knee pain. The association of osteopoikilosis with synovial osteochondromatosis is rare and to our knowledge has received little attention in the literature.

Background: Achilles tendon rupture is a common injury and accounts 18 per 1,00,000 people. The management of Achilles tendon repair is debatable with literature supporting both nonsurgical and surgical management. Functional outcome of surgically treated tendo achilles were assessed by various scoring systems like Boyden clinical outcome score, Leppilhati score, Ankle hind foot scale developed by American foot society and others. All these scoring systems have merits and demerits. After evaluating all the demerits of the available scoring system a new scoring system Comprehensive SRMC scoring system was evolved. Materials and Method: Study was done in Sri Ramachandra Medical College and Research Institute,Chennai, from June 2010 to Jan 2014. Thirty patients who were surgically managed for Tendo Achilles rupture were included in the study. A comprehensive scoring system has been developed,Comprehensive SRMC scoring system and all patients were followed using the scoring system. Results: As per our scoring system eighty four percent of patient surgically treated had good results. Conclusion: Surgical management of tendo Achilles gives good and reliable results. As comprehensive SRMC scoring is specific for Tendo Achilles it can be widely used. [ABSTRACT FROM AUTHOR]