The patient sustained an open segmental tibial shaft fracture with infection and had been treated with intramedullary locked nail at another institution approximately 3 months before presentation. The staged protocol of the clinic was applied. Anteroposterior (A) and lateral (B) radiographs and photograph (C) showing the condition on arriving. Anteroposterior radiograph showing postoperative status after radical debridement, removal of locked nails, sequestrectomy, and residual 12 cm of bone defect (D). Anteroposterior (E) and lateral (F) radiographs showing that bone transport was performed with a trifocal-approach. Anteroposterior (left) and lateral (right) radiographs showing visible callus (G). Photograph taken on arrival at the docking site showing Ilizarov's apparatus with an extended fixator for forefoot anchorage (H). Anteroposterior (I) and lateral (J) radiographs obtained after removing the external skeletal fixator showing intramedullary locked nail and bone consolidation after Harmon's procedure. Anteroposterior (K) and lateral (L) radiographs showing bony union at 1-year follow-up.
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