Introduction-Hereditary multiple osteochondroma is rare form of skeletal dysplasia with autosomal inheritance .during childhood ,these cartilage capped bone tumors grow outward from long bone metaphysis ,leading to metaphyseal remodeling and asymmetric longitudinal bone growth. Forearm deformities affect 30% to 60%of patients with HMO. Patient typically complaining of functional disability cosmetic impairment ,and sometimes pain. The deformities may involve a relative shortening ulna bowing of radius, ulnar deviation of the hand and wrist and permanent subluxation or dislocation of radial head. A 15 years old male patient presented Presentation Of Case- with bowing of right forearm with occasionally pain and he also complaining of pain in right shoulder ,knee joint. on a scanogram of right forearm shows ulnar variance -10,radial articular angle 40 degree, radial bowing .07 ,and radial length (121)cm abnormal carpal slip 6 .The patient was managed with surgical intervention. radial osteotomy and resection of osteochondroma and xation with distal radius locking plate and immobilization with long arm cast. patient recover with correction of deformity. The study ndings conrm our hypothesis that radial Discussion- closed wedge osteotomy combined with osteochondroma resection improves the clinical and radiological outcome in this case Masada type 1 deformity (1) increase in the radial articular angle and ulnar variance (2) a decrease in radial ulnar length discrepancy (3) radial shortening (4) correction of carpal slip and bowing of the radius .The decrease in the radial ulnar length discrepancy produced by radial osteotomy probably prevented radial head dislocation because no episode of radial head dislocation was observed due to radial ulnar length discrepancy. This surgical technique is safe and reliable and no episode of necrosis or infection was observed while this technique probably stops the deformity from getting worse. While several treatment Conclusionoption are possible, it make sense to use a simple ,rapid procedure that is not associated with complication or pain-namely radial corrective osteotomy with osteochondroma resection- in children at the end of growth in whom the severe, progressive, radial deformities are associated with HMO.

Introduction-Clavicle fracture constitutes about 44% of shoulder injuries and 2.6%-10% of all fractures. Undisplaced and minimally displaced fracture of clavicle are acceptably treated conservatively with Arm pouch or triangular sling and clavicular brace or gure of eight bandage. Conservative treatment for displaced fracture has risk of malunion, nonunion and cosmetic unacceptability. Different surgical measures were popularised to address this problems. Fixation by Locking Plate or intra-medullary TENs are current gold standard . This study aims to compare TENs and Plate xation for midshaft displaced clavicular fracture in terms of rate of union and functional outcome and complications on either methods. This retrospective comparative study analysed result of 53 patients Material And Methods- of clavicular fracture treated by TENs (21) or Plating (32) done at Department of Orthopaedics , Bankura Sammilani Medical College, Bankura between November 2020 to February 2022. Radiological outcome measured with Rate and Time of union assessed by skiagram and functional outcome measured by DISABILITIES OF THE ARM ,SHOULDER AND HAND (DASH) score. When compared to plate xation, TE Results- Ns had lesser Time of union the Functional outcome measured showed TENs having better average score than Plate xation. Both nding were statistically signicant. TENs had Conclusionlesser union time ,better functional outcome and comparative complications rate to plate xation. So, Midshaft Clavicular Fractures managed with TENs have comparative better result than clavicular plating.

Introduction Chronic spontaneus rupture of Achilles tendon commonly occurs in middle aged and elderly person, which often goes undiagnosed or untreated for long duration, resulting in large gap in between two ruptured ends. Disrupted Tendo Achilles causes weakness in plantar exion of foot and abnormal gait. Surgical repair of the chronic rupture have poor result due to large gap in between ends. Different surgical procedures are described in the literature for Reconstruction of chronic Tendo Achilles injuries without any clear superior technique. Purpose of this study is assessment of functional outcome of Flexor Hallucis Longus transfer augmented by turn down Gastrocnemius ap in chronic Tendo achilles rupture. Methods This study Assessed functional outcome of Chronic achilles tendon rupture, reconstructed by Flexor Hallucis Longus transfer augmented by turndown gastrocnemius ap done at orthopaedics department, Bankura Sammilani medical college between november 2020 to october 2021. Patients were followed up for 12 months and then assessed clinically for range of movement , return to normal mobility , persistance of pain and complications . Functional outcome were assesed by American Orthopaedic Foot and Ankle Society(AOFAS) ankle and hindfoot score and Visual analogue Score (VAS). Observations Out of 8 patients, 6 had Excellent AOFAS score of 90 to 100, while 2 patient had a good score of 80 to 89. None had fair or poor score.None of the patients had wound breakdown, ankle stiffness, persistant nerve palsy or rerupture of the reconstructed tendon. Mean VAS score for pain at 12 month follow for 8 patients was 0, as none had any pain complain. None of the patient had any loss of ankle joint movement or stability, All patient resumed there normal day to day activity but none could restart recreational or sporting activity. Conclusions. Flexor Hallucis Longus transfer with turndown ap augmentation gives good to excellent outcome with minimal complication, if meticulous soft tissue handling and proper wound closure are done.