Viral infection

30 years non diabetic male presented with feet deformities, trophic ulcer and osteomyelitis of the right foot gradually increasing since 3 years. He consulted many doctors but was not diagnosed for 3 years. Health system delay for diagnosis could've been avoided. What a price to pay for a delayed diagnosis! What is your diagnosis? Awareness and knowledge will minimise health system delay. Thank you.

Tibial aplasia and prosthetic Leg restoration. *Chief Complaints* Due to congenital anomalies she walks with abnormal gait patterns. *History* When she was born 28 years ago with such congenital anomalies. Her parents never thought that their 5th girl child would be the same as others 4 . But she had different problems with tibial aplasia and others 4 having complex syndactyly in both hands. Same as their father having complex syndactyly. *Vitals* Unable to perform activities of daily living. *Physical Examination* Problem with walking and gripping and grasping. *Management* 28 years old girl looking for Prosthetics management for tibial aplasia. Our team takes measurements and casting for Prosthetic Leg restoration. Now she walks comfortably with a new prosthetic Leg.