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Operative technique. A, Standard below knee amputation incision pattern. B, Tension marking sutures on component muscles. C, Disinsertion of component muscles. D, Isolation of tibia and fibula in preparation for osteotomies. E, Harvesting of tarsal tunnels from amputated distal limb. F, Tarsal tunnel with native tendon component. G, Placement of suture anchors for tarsal tunnel fixation to anterior tibia. H, Position of tarsal tunnels on anterior tibia following fixation.
