A 14-year-old boy reported with congenital deformity of the left lower limb, with gross shortening, hip and knee flexion deformities, ankle with equinus deformity, and polydactyly of the left foot. Radiologic examination showed proximal femoral focal deficiency, double fibula, and duplication of the tarsal bones, and a diagnosis of 'proximal femoral focal deficiency associated with fibular duplication and diplopodia with complete agenesis of tibia' was made. Such association of deformities is very rare and poses difficulties in rehabilitation of the case. This patient was managed with elective knee disarticulation, early prosthetic fitment, and gait training.

li ParkT ~a h a~a~~i Bombay -400 0 li Park, ~a~~~~m~ ~ehabi~itation is t~e integral parf of the ~e a~t h care IQ% of the tota! p o~u~a t i o n come under h a n~i~a p~e~ category. The author is in the ~ehabilitatjon fieldand f or kin with the physically handicapped pe These peopie are suffering from various Locomotor Problems parap/egia, poliomye!itby m u i t~~~e sclerosis an Theyare sometime confined to whee~c~air orare $ e~r i~d @~. They find difficulties in -1. Mobilitylndoor and Outdoor. 2. "Access" to various controlss. 3. Limitation of movements. 4. Speed. 5. Motor co-ordination. 6.While working in the ~ehab~iitation centre the author came across practical problems faced by the whee~ch~ir bound disabled-Problems like s w~~~~~n g on and off the iight or fan.