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Preoperative procedure involving computer-aided design/computer-aided manufacturing (CAD/CAM) system with navigation system (BrainLab®) in order to enhance the accuracy and to reduce the operation time: (A) Lower extremity angio CT, (B) image export to the CAD program (BrainLab®), (C) the fibular bone is adjusted to the mirror image of contralateral side, and (D) navigation guide for the intraoperative procedure.
