3C.38

Antecurvatum and rotational diaphyseal deformity in a short tibia; LRS ADVanced with Acute Correction Templates. (a) 53000 series fixator being applied. Note offset position of Rotational Correction Template relative to Angular Correction Template at end of rail. (b) Osteotomy and correction of deformity; definitive fixator in place. (c) Lengthening to restore original bone length. Caution: Resect at least 1 cm of fibula. Peroneal nerve: no acute correction which might stretch nerve.

3C.39

Rotational diaphyseal deformity (15°) in a short tibia treated with the Sheffield Ring Fixator with Translation Rotation Hinges. Lengthening in progress.

3C.40

Diaphyseal deformity in a short tibia. (a) 53000 fixator in place with Micrometric Swivelling Clamp distally; osteotomies: proximal for lengthening, distal for correction. (b) Distal: initial lengthening to stretch soft tissues slowly. Acute shortening and angular correction by callus manipulation. Proximal: lengthening by callotasis after normal waiting period. Caution: Resect at least 1 cm of fibula; distal syndesmosis screw. Peroneal nerve: no acute correction of valgus deformity.

3C.41

Valgus deformity of proximal tibia. (a) LRS ADVanced (53000 series) in place with Multiplanar Clamp proximally; osteotomy performed. (b) Initial lengthening to stretch soft tissues slowly. (c) Acute shortening and angular correction by callus manipulation. Further lengthening as needed. Caution: Resect at least 1 cm of fibula; distal syndesmosis screw. Peroneal nerve: no acute correction of valgus deformity, unless preceded by gradual lengthening and acute shortening.

3C.42

Proximal varus or valgus deformity in a short tibia; LRS ADVanced (53000 series) with OF-Garches T-Clamp. (a) Complete osteotomy performed. Initial lengthening in line of deformity. (b) Progressive correction of angulation with further lengthening as needed. Caution: Resect at least 1 cm of fibula; distal syndesmosis screw. Peroneal nerve: no acute correction of valgus deformity.

3C.43

Distal valgus and antecurvatum deformity in a short tibia. (a) TrueLok Fixator in place with wire-bearing rings. Distal osteotomy for progressive correction of deformity; proximal osteotomy for lengthening. Caution: Resect at least 1 cm of fibula. (b) Correction and lengthening.