19 years old boy sustained open fracture grade 3A of right distal 3 rd femur, done wound debridement+interlocking nailing of femur. Unfortunately, 5 months later patient presented with chronic osteomyelitis. 8.5cm of bone was removed. Later, bone transport was started using LRS system. Bone transport was completed 3 months (87 days

Dengue fever with its haemorrhagic complications is a common viral illness in Malaysia which can sometimes lead to high morbidity and mortality. We present a case report of a 27-year-old male who was admitted to our hospital with dengue haemorrhagic fever. He developed multiple hematomas and bruising in his right forearm and arm due to intravenous cannula insertion. Due to coexisting thrombocytopenia, the limb progressed to acute compartment syndrome and emergency fasciotomy was done and his limb was salvaged. This case illustrates an important potential complication of dengue fever and the importance of timing of surgery in the event of compartment syndrome.

Infantile cortical hyperostosis (ICH), also known as Caffey's disease, is a benign self-limiting condition affecting young infants. The initial symptom of the classical ICH is usually irritability, fever and soft tissue swelling affecting one or more bones. Diagnosis is usually delayed because its clinical presentation mimics many other clinical conditions such as osteomyelitis, scurvy, hypervitaminosis A, child abuse, bone tumor or even fracture. There are no laboratory tests to confirm the diagnosis. There are two types of ICH been described; the classical mild infantile form and the more severe prenatal form. Most of the cases of ICH are sporadic, but autosomal dominant and recessive patterns have been reported as well. It is linked with missense mutation in COL1A1, the gene encoding the α1 chain of type I collagen and has raised some doubts whether it is a type of collagen disorder, like osteogenesis imperfect. In this case, the newborn developed ICH due to prolonged infusion with prostaglandin E1 which was given in view of congenital cyanotic heart disease. Prostaglandin E1 infusion is used for maintaining the patency of ductus arteriosus in ductus dependent congenital heart defects in neonates and is usually administered before corrective heart surgery. ICH is mostly self-limiting and resolves within 12-24 months and usually does not require any treatment. Anti-inflammatory drugs such as NSAIDS (indomethacin and naproxen) and steroids has been used in symptomatic cases with success. The outcome is generally good with symptoms resolution usually before the age of one year. Relapses are uncommon.