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Fig. 3  | Journal of Medical Case Reports

Fig. 3 

From: Reconstructive surgery to preserve ankle function in a 5-year-old girl with bilobed distal tibia in an unclassified case of tibial hemimelia: a case report

Fig. 3 

A Surgical procedure demonstrating thorough exposure and release of the distal parts of the tibia and fibula in the right leg through an anterior approach (arrow shows the osteotomy line), (B) excision of the medial physis and the supramalleolar region by vertical osteotomy (straight arrow indicates the vertical osteotomy line, while curved arrow represents the centralization procedure toward the tibial axis), (C) simultaneous transverse osteotomy and centralization through the tibial axis, with fixation of the distal part using an intramedullary pin (blue arrow)

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Journal of Medical Case Reports

ISSN: 1752-1947