Figure 2.

Tibial segmental defect operative procedure. Following skin preparation and draping: (a) an anteromedial approach was used to access the diaphyseal portion of the right tibia; (b) the periosteum was carefully and entirely removed around the site of the proposed ostectomy; (c) the proprietary jig was secured against the bone and the 35 mm ostectomy was marked on the tibia, using diathermy; (d) six 4 mm diameter holes were drilled through the jig guides; and (e) Schanz screws were inserted in a standardized order; (f) the jig was removed and the external fixator was secured in place prior to forming the ostectomy at the pre‐marked site, using an electric reciprocating sagittal saw; (g) the segment of bone was removed, along with any remaining periosteum; (h) polymer scaffold inserted, with or without SSCs; (i) appearance following closure. [Colour figure can be viewed at wileyonlinelibrary.com]