Complication of lengthening and the role of post-operative care, physical and psychological rehabilitation among fibula hemimelia

Figure 1 Pin tract infection. A: Healthy healing of pin tract site; B: Infection of pin tract site.

Figure 2 Lateral view of the tibia and associated muscles. A: Before lengthening. Gastrosoleus muscles and Achilles tendon; B: After lengthening of tibia. Ideally the muscle should lengthen to the same extent as the bone; C: Knee flexion contracture. This occurs when knee extension is not maintained throughout lengthening. A relative shortening of the muscle to the new bone length has been produced; D: Equinus contracture of ankle. This occurs when ankle dorsiflexion is not maintained during lengthening.