Closed Reduction of Chronically Subluxated knee with Deftix (Made in India Hexapod).

Introduction: The aim of the study was to study results of (made in India) hexapod external fixator (HEF) (deft fix)-assisted correction in a case of knee subluxation with malunited medial tibial condyle fracture. Methodology: A subject with knee subluxation was selected for application of hexapod and Ilizarov ring fixator for staged correction of subluxation using deft fix-assisted correction. Result: The study shows anatomical reduction of the subluxated knee using HEF with deft fix-assisted correction. Conclusion: The HEF does not require frame transformation and is easier to use and is known to have the ability to correct complex multiplanar deformities better and much faster than the traditional Ilizarov ring fixator which requires multiple changes in hardware while correcting complex deformities. Software-assisted hexapod correction provides more faster and accurate correction with the ability to do fine adjustments at any stage of correction.

Recurrent Giant Cell Tumor of the Distal End of the Femur.

Introduction: The aim of the study was a case report of a right-sided recurrent giant cell tumor of the distal end of the femur. Methodology: A case of a 25-year-old male patient with a history of recurrent giant cell tumor of the right distal femur who presented with chief complaints of pain over right distal femur and stiffness in the right knee for 2 years with restricted knee movement and is unable to walk. He was diagnosed with recurrent giant cell tumor of the right of the distal femur and was treated with wide excision with mega prosthesis reconstruction. Result: Wide excision with mega prosthesis reconstruction showed a good functional range of motion with early rehabilitation, stability, and mobility of joints. Conclusion: We recommend wide excision and reconstruction with mega prosthesis is an effective method compared to sandwich technique and nailing and can be successfully done in the case of recurrent giant cell tumor of the distal femur with a good outcome, functional range of motion, stability, and mobility of the joint with early rehabilitation though it is a technically demanding surgery. The knee joint could have been salvaged and the need for more extensive surgery could have been prevented, had the diagnosis of recurrent giant cell tumor was made earlier.

Osteochondroma Presenting Clinically with Carpal Tunnel Syndrome in a 12-Year-old Boy.

INTRODUCTION: An exostosis is a benign growth of bone, which when capped with cartilage is called osteochondroma, which can appear as solitary or multiple, mostly affecting the long bones, pelvis, and shoulder region. The prevalence of known solitary exostosis is 1-2% in the general population. They are slow growing lesions with rare malignant transformation. In patients with a solitary exostosis, the chance of developing a chondrosarcoma out of an exostosis is around 1%. CASE REPORT: A 12-year-old boy presented to our outpatient department with complaints of pain, and swelling at the right wrist since 1 year and tingling numbness on and around palmar aspect of index and middle finger since 6 months. The swelling was of size 3 cm × 2 cm, Tinel's sign was positive. His blood parameters were normal. X-ray showed exostoses. Magnetic resonance imaging was suggestive of osteochondroma. Nerve conduction study was normal. Excision biopsy confirmed the diagnosis and also relieved all symptoms. CONCLUSION: Our case report is unique in its own way as it reminds us that when presented with a case of osteochondroma of the distal radius in children, carpal tunnel syndrome can also occur.

A Rare Case Presentation of Spina Ventosa Associated with Lichen Scrofulosorum and A Tuberculoma.

Introduction: Tuberculosis (TB) can present in different ways and should be regarded as one of the possible diagnoses of several bony, cutaneous, and neurological pathologies. Case Report: We present a case report of a 13-year-old female, who presented with swelling of the left index finger, then diagnosed to have Pulmonary and extra-pulmonary TB (Spina Ventosa, Lichen scrofulosorum, cervical lymphadenitis, mediastinal lymphadenopathy, and a frontal lobe Tuberculoma). We further discuss its features and management. The patient's condition improved on the initiation of Anti Koch's Treatment, and debridement of the left index finger's lesion. Conclusion: Patients can be asymptomatic with widespread TB. As TB can present in different ways, when examining a patient, always consider the possibility of multiple organs being involved.