Fig. (1)

 Twenty eight years old man, with chronic Osteomyelitis

of left tibia for the last 20 years as a complication

of fracture and tight bandaging causing 11 Cm gap

Fig. (2)

Same patient in supine position, shortening and bowing of left leg

Fig. (3)

Same patient with protruded head fibula and scar tissue

 on the shin ,the site of repetitive sequestrectomies

Fig. (4)

 Same patient in prone position

Fig. (5)

 Plain radiograph ,A.P. & Lat. views , multiple sequestrae

gap in the tibia & ankylosed ankle

Fig. (6)

 Same patient with Ilizarov frame , 4 in 1 . The middle block for

 compression of Fibula-Pro-Tibia, while proximal and

distal blocks for correction of tibial bowing and elongation

Fig. (7)

 Same patient after removal of the middle block of the ILizarov

frame no more bowing of the leg and well equalized limb

Fig. (8A)

Fig.8A Plain radiograph A.P. view ,well corticalised

distraction sites hypertrophied distal fragment of fibula

Fig. (8B)

Fig.8B Plain radiograph Lat. view ,well corticalised distraction

 sites, hypertrophied distal fragment of fibula

Fig. (9A)

Fig.9A The same patient after removal of the Ilizarov frame

Fig. (9B)

Fig.9B The same patient after removal of the Ilizarov frame,using KAFO

Fig. (10A)

Fig.10A Plain radiograph A.P. View , union between hypertrophied

 distal fragment of fibula with proximal fragment of the tibia & fibula

Fig. (10B)

Fig.10B Plain radiograph Lat. View , union between hypertrophied

 distal fragment of fibula with proximal fragment of the tibia & fibula

Fig. (11A)

Fig. (11B)

Fig. (11C)