Fig. 1.

Peripheral physeal bar: A. This 12 months child suffered extensive diaphyseal osteomyelitis of tibia right side. Both proximal and distal tibial physis were affected B. A physeal bar was obvious about 36 months post infection C. At age 4 years, the bar was excised and physis balanced with application of contralateral ‘8’ plate D. The plate was removed at age 8 years following correction of angular deformity E. Follow up at age 11.5 years. The deformity recurred rapidly due to an unhealthy physis.