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Introduction: Bone defect is a major challenge for reconstruction. The purpose of this case report is to present a case with extensive bone defects of multiple metatarsals of the foot treated using the induced membrane technique.

is a simple versatile external fixator system which can be used for the correction of club foot in older children. Study aimed to evaluate clinically the correction of the deformities in Neglected and Relapsed clubfeet by ligamentotaxis using Joshi's external stabilizing system (JESS). Materials and Methods: The study was conducted at Sheri Kashmir Institute of Medical Sciences, (SKIMS) MCH, Srinagar J&K between July 2012 to September 2013. The study included 20 clubfoot deformities treated by Joshi's System of External Fixation. Results: The present study comprised of a total 20 clubfeet in 18 patients presenting in the Department of Orthopedics, SKIMS MCH, Srinagar. The age of the patients varied from 3 years to 15 years. The majority of the patients were in the age group of 3 year to 10 years. Out of the 20 clubfeet studied, 13 (65%) were male patients and 7 (35%) were female patients. Bilateral deformity was more commonly seen (about 72%). The minimum duration to achieve correction was 13 days and the maximum duration was 63 days. 60% of the patients required less than 4 weeks of distraction. The mean duration of distraction was 28.4 days. Conclusion: The deformity is clinically well corrected by the principles of differential distraction. But the loss of ankle and subtalar movements is an issue. Loss of correction can occur as the child grows which can be addressed by ala carte procedures depending on the recurrent deformity and importantly parents of these children are immensely satisfied with the correction.