Background: Diaphyseal fractures of the radius and ulna are among the most frequent long bone injuries in children, often compromising forearm rotation and alignment. Although conservative management remains common, unstable or displaced fractures may require surgical stabilization. The Titanium Elastic Nailing System (TENS) offers a minimally invasive fixation method that preserves periosteal circulation and allows early mobilization. This study evaluated the functional and radiological outcomes of pediatric both-bone forearm fractures treated with TENS. Methods: A prospective observational study was conducted among 20 pediatric patients (aged 4–12 years) with diaphyseal fractures of both radius and ulna treated using TENS at a tertiary hospital between January 2006 and June 2007. Functional outcomes were assessed using the Children’s Hospital of Philadelphia (CHOP) criteria and Price et al. grading system. Radiological union was defined as bridging callus formation in at least three cortices on orthogonal radiographs. Follow-up assessments were performed at 2, 4, 8, 16, and 36 weeks. Results: The mean age was 8.6 years, with males comprising 84%. Most injuries resulted from falls on an outstretched hand (50%). The mean radiological union time was 8.36 weeks (range 6–14). Based on Price criteria, 80% of patients achieved excellent and 20% good functional outcomes. Minor complications included pin-site infection (15%) and entry-site irritation (5%), with no cases of nonunion, neurovascular injury, or refracture. Conclusion: TENS provides reliable anatomical reduction, early union, and excellent functional recovery in pediatric both-bone forearm fractures. Its minimally invasive nature and low complication profile make it a preferred treatment modality for unstable diaphyseal fractures in children.

Background: Proximal interphalangeal (PIP) joint injuries are frequent and often result in pain and chronic stiffness, which can significantly lower a patient's quality of life. The modified Suzuki frame offers significant advantages for PIP joint fracture-dislocations. We aimed to explore the functional outcome of modified Suzuki frame in treating PIP joint injuries. Materials and Methods: This prospective observational study was conducted at Sree Balaji Medical College and Hospital, Chromepet, Chennai, Tamil Nadu from 2006 to 2007, involving 30 patients. Patients were followed up at 1-week, 1-month, and 2-month intervals post-operatively. Total Active Motion (TAM) score, degree of flexion, hand grip strength were analysed to evaluate the functional outcome of surgery.  Results: A total of 30 patients with PIP joint fractures were participated in the study. Majority of patients were middle-age with mean age of 39.6 years ± 13 with male predominance. A significant improvement (p=0.001) was observed with mean TAM score of 172 ± 31 and 195 ± 29 at 1 and 2 months respectively (80%). Degree of flexion at each follow-up the significant improvement was found from immediate post-surgery period to 2 months follow-up (p=0.01). Hand grip strength also found to be significantly improved. Analysis of the surgical outcomes revealed that the majority of cases (66.7%) achieved good results. Conclusion: Functional outcomes like the degree of flexion, hand grip strength, and TAM score showed promising results, indicating that the modified Suzuki frame was an effective approach.

Introduction: Acute cholecystitis is one of the most common surgical emergencies worldwide. Early laparoscopic cholecystectomy (ELC), performed within 72 hours of symptom onset, has been increasingly recommended over delayed surgery. However, concerns remain regarding operative difficulty, conversion rates, and complications. This study evaluates the safety and efficacy of early laparoscopic cholecystectomy in acute cholecystitis Materials and Methods: A prospective observational study was conducted on 120 patients diagnosed with acute calculous cholecystitis. Patients underwent laparoscopic cholecystectomy within 72 hours of admission. Demographic data, operative time, intraoperative findings, conversion rates, postoperative complications, and length of hospital stay were recorded. Statistical analysis was performed using SPSS version 25. A p-value <0.05 was considered significant. Results: Among 120 patients, 70 (58.3%) were female and 50 (41.7%) were male. The mean operative time was 75 ± 18 minutes. Conversion to open surgery occurred in 8 (6.7%) cases. Postoperative complications were observed in 10 (8.3%) patients, with surgical site infection being the most common. The mean hospital stay was 3.2 ± 1.1 days. No mortality was recorded. Conclusion: Early laparoscopic cholecystectomy is a safe and effective treatment for acute cholecystitis, associated with low conversion rates, minimal complications, and shorter hospital stay. It should be considered the standard of care in hemodynamically stable patients.

Introduction: Minimally invasive mitral valve surgery (MIMVS) has emerged as an alternative to conventional median sternotomy for mitral valve procedures. It aims to reduce surgical trauma, blood loss, hospital stay, and recovery time while maintaining comparable safety and efficacy. Materials and Methods: A prospective observational study was conducted on 120 patients undergoing mitral valve surgery over a period of 1 year. Patients were divided into two groups: minimally invasive right mini-thoracotomy (n=60) and conventional sternotomy (n=60). Demographic data, intraoperative parameters, postoperative outcomes, complications, and mortality were analyzed. Results: The MIMVS group demonstrated significantly lower postoperative blood loss (p<0.01), shorter ICU stay (p<0.05), reduced ventilation time (p<0.01), and shorter hospital stay (p<0.001). Cardiopulmonary bypass time was slightly longer in the MIMVS group but not statistically significant. Mortality rates were comparable between groups (3.3% vs 5%). Conclusion: Minimally invasive mitral valve surgery is a safe and effective alternative to sternotomy with superior early recovery outcomes and comparable morbidity and mortality.