Fig. 2
(A,B) Post-injury appearance of the open wound, with a substantial portion of the tibia exposed; (C) Avulsed bone fragments without blood supply; (D) Post-fracture X-ray of the tibia and fibula, demonstrating comminuted fractures at the distal ends; (E–G) Following debridement, tibial shortening is observed, with the anterior tibialis muscle flap and soleus muscle flap utilized to cover the wound site; (H,I) Follow-up X-rays after debridement and external fixation, illustrating the status of the surgical site. (J–L) Illustrates the process of tibial lengthening using the Ilizarov technique following the shortening procedure. (M,N) Represents the condition of the external fixation frame after the completion of distraction. (O,P) Demonstrates the state of the wound healing with a dry appearance. (Q,R) Shows the X-ray image upon removal of the external fixation apparatus.
