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Introduction- Distal radius reconstruction needs aggressive operative intervention is still a debate among researchers & orthopaedic surgeons. There is very little role of non operative management in geriatric unfit patients. Revolution of implants & techniques advocated the best clinical outcome. Material & methods- Prospective research study is conducted at G.S. medical college Hapur, in department of orthopaedics. 20 patients of volar Barton fractures between the age group of 20 to 50 years were included in the study and treated with volar locking plate. out come of study was evaluated by using the Gartland & Werly score modified by Sarmiento & patient rated wrist Evaluation (PRWE) score. Results- Mean palmar flexion was 74 degree, dorsi flexion was 84 degrees observed, average supination & pronation was 85 & 80 degrees respectively. Radial & ulnar deviations average 10 and 25 degrees observed. 85% of patient had loss of radial inclination less than 10 degrees. All the patient had less than 5 mm radial shortening. Loss of palmar tilt less than 6 degrees was observed. More than 90% of the patients had excellent to good outcome based on Gartland & Werley score. Conclusion- Volar plating reproducible & proven method of choice in majority of Volar Barton factures of radius irrespective of comminution & fragments separation. Keywords: Volar Barton fracture, volar plate, osteosynthesis

Introduction: Simple bone cysts (SBC) are benign bone defects that are defined as minimally expansile lucent lesions consisting of a cavity filled with fluid and lined with a fibrocellular membrane. The long-used and the most popular of these treatment modalities is the cortisone injection technique. Treatment options include observation, percutaneous steroid injection, and surgery. This study investigates the results of patients who were treated by steroid injections. Materials and Methods: Total number of fifty patients diagnosed with solitary bone cyst. The study included patients with pathological fractures who did not accept any treatment and patients who steroid injection was performed. The diagnosis of simple cyst was confirmed with clinical and radiological findings. IBM SPSS Statistics 21 manufactured by IBM USA was used for entire calculations. Result: The mean age in first group was 10 ± 4.3 and second group was 9.6 ± 3.2. the cyst area measured in plain radiographs was an average of 63.7 ±9.3 (cm3) in group one and 69.3 ±8.9 (cm3) in second group. Eleven of the lesions were active and 13 were inactive in group one. Twelve lesions were active and eight were inactive in Second group. The involved bone between two groups found statistically significant (P=0.004), and the significancy also found between pathological fractures of two groups (P=0.003). Conclusion: Steroid has no primary curative role in the treatment of bone cysts, but that other factors occurring during steroid injection or natural course of the cyst itself (pathological macro and/or micro fractures developing during the treatment process, procedures causing a decrease in intracystic pressure during injection) may play a supportive role in the healing process.