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The Thoracic Erector spinae plane block (ESPB) has been incorporated in multimodal analgesia protocols since 2016. In a series of 20 Total Hip Arthroplasty (THA) patients, done under spinal anaesthesia, we studied the efficacy of Lumbar Erector spinae plane block (L-ESPB) for post operative analgesia. L-ESPB was administered at L4 with Ropivacaine 0.2% (0.4 mg/kg). Time to first analgesia (TTFA) request (mean 15.03 hours) and total opioid consumption in first 24 hours (mean 27.5 mg Tramadol) was noted. A median NRS at TTFA was 3.5. Our study demonstrates L-ESPB as an effective alternate technique for postoperative analgesia in THA patients. Keywords: Lumber ESP block, Hip Arthroplasty

Introduction: Removal of the elastic stable intramedullary nail (ESIN) after the union is routinely performed in the pediatric population. However, ESIN removal can be lengthy and difficult due to the strong bonding between nail and bone. Technique: We preferred keeping the nail tip tangentially flush (

Acetabulum fractures require systematic approach for understanding the fracture pattern and also for planning the treatment plan. The fractures have to be correctly identified radiologically and clear definition of fracture patterns should be made before planning. The radiological parameters must be kept in mind in planning of surgical approach and also the fixation method. This may require a long learning curve but these basics have to be kept in mind while dealing with acetabulum fractures. There are new techniques like 3d CT, virtual assessment of the fracture, 3D print modelling of the fractures that may help in complex fractures, but the basic principles remain the same. Advancements in technology simply refines the ways and means of interpretation and implementation of the basic principles. The current article is compilation of experience gathered over a period of time. The entire article emphasizes on the basics of understanding and managing acetabular fractures and also includes important tips and tricks that facilitate the treatment. Keywords: Acetabulum fractures, surgical management, Letournal and judet.