3C.33

(a) Short tibia; LRS ADVanced (53000 series) in place; metaphyseal osteotomy performed. (b) Monofocal lengthening. Caution: Resect at least 1 cm of fibula; distal syndesmosis screw.

3C.34

Short tibia lengthened with TrueLok Fixator.

3C.35

(a) Very short tibia. LRS ADVanced (53000 series) in place; proximal and distal osteotomies. (b) Simultaneous lengthening at each osteotomy site.

3C.36

(a) Very short tibia. LRS ADVanced (53000 series) in place; proximal and distal osteotomies. (b) Simultaneous lengthening at each osteotomy site. Use of Micrometric Swivelling Clamp, which can be used at either end of the adult rail, to correct any varus or valgus occurring during lengthening. Caution: Resect at least 1 cm of fibula; distal syndesmosis screw.

3C.37

(a) Short tibia. Intramedullary nail in situ. Locking screws proximally, only. Midshaft osteotomy. LRS ADVanced (53000 series) in place. (b) Lengthening at osteotomy site. (c) Lengthening complete; nail locked distally and fixator removed. Caution: Resect at least 1 cm of fibula; distal syndesmosis screw.