Nepal Orthopaedic Association Journal (NOAJ) is a biannual journal, an official publication of Nepal Orthopaedic Association. NOAJ is a scientific bio-medical journal devoted to Clinical orthopaedic which has the objective of providing opportunities for free exchange of ideas and information on health, health care system and medical education related with orthopaedics and trauma. All efforts are being made to make NOAJ into a standard journal and a forum from which the researches conducted in various disciplines in Clinical orthopaedic, the reviews done, novel and unique cases which we encounter during our professional career can be made available to our readers.