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- Blount's disease is dened as a growth disorder of medial aspect of proximal tibia physis with abrupt medial angulation of proximal tibia distal to epiphysis, leading to varus angulation of proximal tibia and medial rotation of tibia. Epidemiology is not well established and very rarely cases have been reported from Indian subcontinent. It is associated with internal tibial torsion and genu recurvatum. The aim of Objective: this work to evaluate the results of acute correction of adolescent Blount's disease using ilizarov frame constructed for gradual correction taking the benets of acute correction. A 16 year old male adolescent presented with Presentation Of Case- deformity in right foot and altered walking pattern for past 2 years . On examination there was 13 degrees varus deformity in right leg. There was a 15 degree internal tibial rotation on right side. Knee range of motion was 10 degree of hyperextention to 140 degree of full exion. Patient managed by surgical intervention. oblique proximal osteotomy was done. deformity correction was done by ilizarov frame. patient recovered well with correction of deformity and could walk with normal gait pattern. Patient result were assessed both cli Results- nically and radiological .Restoration of mechanical axis ,knee range of movement, weight bearing, range of motion [ROM] external xator time and possible complications were assessed. The average external xator time was 12 weeks. Blount's disease is a very rarely encountered condition in Conclusion- Indian subcontinent but has a characteristic presentation. We conclude that acute correction of adolescent Blount`s disease using a frame constructed for gradual correction is a safe and reliable technique. It combines the benets of both acute and gradual correction allowing for shorter healing time and to correct any operative error at the clinic and reducing the need for intraoperative uoroscopy.