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A 16-year-old patient had bilateral lower-limb lengthenings using the Ilizarov external fixator. (A) A radiograph shows the patient’s limbs while wearing the Ilizarov fixator for bifocal lengthening of the tibia by 6.5 cm. (B) AP and (C) lateral views show the patient’s limbs after removal of the fixator. Clinical photographs show the patient (D) before, (E) during, and (F) after lengthening. (G) Functional outcome after removal of the external fixator is shown.
