Fig. 5.

Case 2: A 34-year-old male who underwent the protocol with the Surgical technique 2; a The patient suffered a severe open fracture in the distal humeral shaft due to high-energy trauma; b Underwent open reduction and external fixation, which developed into osteomyelitis; c after thorough debridement, the humeral defect was 6.6 cm and the Surgical technique two was applied; d X-ray image at 1month since the distraction; e X-ray image at 8month after the surgery shows contact at the docking site and good mineralization; f X-ray at one year after the external fixator was removed and the anatomical plates were implanted