The document details the case of a 48-year-old male with a severe comminuted compound fracture due to a vehicular accident, who underwent a hexapod-assisted fracture reduction at the Center for Limb Lengthening & Reconstruction in Mumbai. Key interventions included indirect intra-articular reduction, application of an Ilizarov fixator, and mobilization, with a focus on maintaining bone fragment vascularity and managing wounds. Post-operative evaluations showed significant improvements in functional outcomes and radiographic findings over a one-year period.