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. 2021 Sep 10;57(9):951. doi: 10.3390/medicina57090951

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© 2021 by the authors.

Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

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(A): AP and lateral XR demonstration varus non-union deformity with segmental fibular fracture. (B): Intraoperative fluro view with threaded k-wire at proximal and distal aspect of malunited segment. A core reamer is being used to create the sequential bicortical drill holes. A core reamer can be used if the malunited segment is significantly larger than a 3.5 drill bit. (C): Note the lamina spreaders being utilized to open the osteotomized clamshell segment. (D): Medial universal distractor being utilized to assist with deformity correction. The distractor can be left in place during the nailing procedure. (E): AP and lateral 3-month postoperative radiographs demonstrating healed clamshell and fibular osteotomies.

(A): AP and lateral XR demonstration varus non-union deformity with segmental fibular fracture. (B): Intraoperative fluro view with threaded k-wire at proximal and distal aspect of malunited segment. A core reamer is being used to create the sequential bicortical drill holes. A core reamer can be used if the malunited segment is significantly larger than a 3.5 drill bit. (C): Note the lamina spreaders being utilized to open the osteotomized clamshell segment. (D): Medial universal distractor being utilized to assist with deformity correction. The distractor can be left in place during the nailing procedure. (E): AP and lateral 3-month postoperative radiographs demonstrating healed clamshell and fibular osteotomies.