6.1(a) Large distal defect in the tibia; LRS Fixator (D200 series) in place. Proximal metaphyseal osteotomy. (b) Middle segment moved distally until docking occurs. (c) Optional additional lengthening proximally if indicated. Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw. |