Figure 2.

A. Case no 20. A 10-year-old female with shortened and deformed (varus angulation) proximal humerus due to osteomyelitis.

B. Bifocal humeral osteotomy with use of hybrid monolateral fixator for correction of deformity and lengthening simultaneously.

C. Desired lengthening of the humerus at the distal osteotomy site.

D. Full consolidation of the lengthening site, 7 months after osteotomy. Proximal pins and assembly were removed after healing of proximal osteotomy, thereby converting it to a simple monolateral fixator.

E. Final follow-up 5 years after osteotomy, showing excellent remodeling.