Fig. 2.

Reconstruction of a 10 cm infected diaphyseal tibia defect (SOFCOT type 4) using external fixation. a Stage 1: unilateral tibial frame combined with internal fixation of the fibula together with implantation of an inter-tibiofibular spacer and soleus flap transfer. b Stage 2: conversion to a multiplanar tibial frame with cancellous bone grafting and double inter-tibiofibular grafting. Bone union was achieved at month-10 after a progressive external fixator dynamization. No septic recurrence was observed at the last follow-up. SOFCOT Société Française de Chirurgie Orthopédique et Traumatologique