At times, deformity in children can go unnoticed, leading to its progress well into the acquired stage for which limb reconstruction becomes essential. These conditions include achondroplasia – bone dysplasias, congenital tibial pseudarthrosis, congenital short femur, fibula hemimelia, and club foot, joint stiffness due to spina bifida or arthrogryposis.nnHence, it is advisable to observe and check the physical growth pattern of the children in depth.