BACKGROUNDFractures often occur with irregular ends and bone loss to a variable extent. Bone graft has a well-recognised role in orthopaedic surgery for the treatment of non-union, bridging diaphyseal and metaphyseal defects. The gap at the fracture site will definitely hamper the fracture stability. Usually, the gap at the fracture site is more or less filled by fibrous tissue if not by the callus. The fate of the fracture union depends on the gap filler at the same time not compromising with the stability. MATERIALS AND METHODSThe purpose of this study is to investigate the role of bone grafts in aiding the fracture stability. Open reduction techniques often cause more fracture trimming resulting in non-reciprocating fracture surfaces that need a filler at the same time not compromising the stability. The harvested corticocancellous graft is fashioned to act like strut for 78 cases in our study. RESULTSThe results are assessed by the approximation of the fracture ends and provisional stability given by the cortico-cancellous graft. Whatever graft that is harvested should serve the purpose not compromising either stability or gap filling. CONCLUSIONCorticocancellous grafts serve the purpose of filling the fracture gaps as well as aiding in the stability of fracture when the fracture has created non-reciprocating ends at the fracture site.

BACKGROUND The incidence of congenital talipes equinovarus is approximately one in every 1000 live births. Most cases are sporadic in occurrence. Contractures or anomalies of the soft tissues exert further deforming forces and resist correction of bony deformity and realignment of the joints. Our study has been done to know the efficacy of nonoperative management. MATERIALS AND METHODS Our study is done with children presenting with neglected clubfoot at different ages from one year to two years of age. The deformity in these children is persisting because of no treatment or discontinued treatment after early initial attempts for correction. RESULTS The target set for achieving Pirani is 0 with clinical deformity turning to neutral or overcorrection. The Pirani score improvement achieved in 10 out of 42 cases. CONCLUSION Nonoperative management even in neglected cases of clubfoot can be tried to correct the deformity while preserving the normal anatomy in favourable progressions.