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Background: Knee injuries are more common due to exponential increase in road traffic accidents and more involvement in sports related activities by common people. Anterior cruciate ligament injury is one of the most common injuries around knee and poses quiet a lot management controversy. Aims and Objectives: To do comparative analysis of the functional outcome of Arthroscopic Anterior Cruciate Ligament Reconstruction using quadrupled semitendinosus and gracilis graft with endobutton as femoral fixation device and bioabsorbable interference screw against titanium interference screw as tibial fixation devices respectively. Materials and Methods: 60 Patients with ACL tear attending out patient department of a tertiary care hospital were recruited in this prospective, comparative study. Detailed proforma consisting of patient information, Lysholm and Gillquist scoring scale were administered pre and postoperatively for patient. The difference in clinical outcome of both groups was compared. Out of 60 patients 30 patients underwent ACL reconstruction using Titanium screw and 30 patients underwent ACL reconstruction using Bioabsorbable screw. All patients were followed up for a period of 6 months post operatively. Improvement in patient condition was measured in terms of improved Knee range of motion, walking with or without support, any instability, any locking of knee, any pain while activity. Results: Mean preoperative Lysholm score for Titanium group was 52.60 and postoperative score is 85.56. Mean preoperative Lysholm score for Bioabsorbable Group is 54.70 mean postoperative score for group is 87.63. The increase in both scores was statistically significant when compared within the groups. And when both groups are compared, there was no significant difference between 2 groups. Few of our patients presented with anterior knee pain in immediate post-operative period which subsided with physiotherapy and medication, none of them had chronic knee pain. Conclusion: Our study shows that there is no difference in functional outcome whether bioabsorbable or titanium interference screw was used.

Background: Tibial shaft fractures are third most common type of long bone fractures in children after femur and forearm.Aim: The purpose of the study is to evaluate the functional and radio logical outcome results of Closed reduction or open reduction of tibial fractures and fixation using locking plate as supra cutaneous external fixator in children.Methods: In this observational study 32 children with tibial fractures having soft tissue injury underwent external fixation with locking plates. There were 22 male and 10 female children with mean age of 10.59years (range 6 to 15 years) who sustained fracture in RTA. 84.4% cases had closed fractures, and 15.6% cases had open fractures. Out of the cases with open fractures, 60% had grade 1 injury, and 20% each had grade 2 and grade 3b injury respectively. Results: 7, 9, 11, 13 Holed LCP were used in 34.4%, 25%, 25% and 15.6% patients respectively. Screw tract infections were observed in two patients who had serious discharge and was relieved with oral antibiotics. No deep infections were reported. All the fractures united by the end of 24 weeks after bone grafting. In all most all the patients skin condition was found to be good in follow up.Conclusion: The present study though in small number (32) shows that use of LCP plate as supra cutaneous external fixator is an effective method in terms of stability of fixation, utilisation as permanent fixation method and less complication rate.