Reconstruction of a massive tibial defect using trifocal bone transport and free flap: A case report

Figure 1  Initial state of the patient at presentation.

Figure 2  Bony defect and soft-tissue injury after the removal of the external fixator.

Figure 3 External fixation. A: Radiograph of the anterior placement of the external fixator; B: Radical debridement with the fixator in place.

Figure 4  Defect covered by a free flap and circular external fixation.

Figure 5  Placement of the external fixator allowed partial and progressive support initiation.

Figure 6 Panoramic radiographs. A: Initial mechanical axis deviation in valgus; B: Corrected alignment after adjustment of hinges and bars.

Figure 7 Final outcome. A: Radiograph 6 months after internal fixation showed regeneration and corticalization; B: The patient’s leg with soft tissue was in good condition and showed no signs of infection.