Fig. 4
a A locking plate was used to mechanically align and stabilize the lower leg. A pedicled vascularized fibula graft was inserted into the medullary cavity of the tibia and locked in place with cortical screws. b Bone union was observed 9 weeks after surgery, and the patient began to partially bear weight. c Complete bone union was observed 8 months after surgery. d The locking plate and screws were removed 19 months after surgery