Table 1.

Chronological events of the case.

Day	Event
–	Irrigation and debridement followed by external fixation on right tibia.
0	Ilizarov application. The transported segment is the middle segment. The defect is about 14.5 cm.
15	Distraction started at rate 0.25 mm three times per day (proximal–unifocal).
27	Beginning of appearance of the regenerate.
189	Incision and drainage of pin site infection. Adjustment of the two proximal pins with traction of the healthy bone that was transported. Fixation of both using two wrenches.
216	Distraction stopped.
540	Ilizarov frame application for right planter flexion deformity (hindfoot).
631	Acute correction for severe right planter flexion deformity (midfoot).
764	Ilizarov removal, cast applied, x-ray showed good bone healing.
Follow-ups: Patient walks with crutches.
903	Fracture due to fall. ORIF of right tibia and bone graft with MIPO. MIPO was fixed and bone graft was placed on the docking site infection.
946	Infection. Plate was removed and IV antibiotic started. Re-application of Ilizarov with two rings for the proximal segment only.
976	Patient discharged.
Follow-ups: Patient still walks with crutches mainly due to the effect of the other limb (drop foot, foot deformity and ACL).