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  Indian J Med Microbiol
 

Figure 2: SUPERankle procedure: The severe equinovalgus foot deformity of fibular hemimelia is shown from the anteroposterior. There is a malunited subtalar coalition and a maloriented tibial plafond as well as a diaphyseal angulation (left). A supramalleolar osteotomy is performed and the bone ends disengaged and overlapped. This allows the tibia to shorten taking the tension off of the soft tissues. The subtalar coalition is osteotomized, reduced, and pinned, which adds length and soft tissue tension further shortening the limb. The overlap of the bone ends is marked (left middle). The shortening osteotomy is performed (right middle). The bone ends are reduced and pinned with no soft tissue tension due to the shortening (right)

Figure 2: SUPERankle procedure: The severe equinovalgus foot deformity of fibular hemimelia is shown from the anteroposterior. There is a malunited subtalar coalition and a maloriented tibial plafond as well as a diaphyseal angulation (left). A supramalleolar osteotomy is performed and the bone ends disengaged and overlapped. This allows the tibia to shorten taking the tension off of the soft tissues. The subtalar coalition is osteotomized, reduced, and pinned, which adds length and soft tissue tension further shortening the limb. The overlap of the bone ends is marked (left middle). The shortening osteotomy is performed (right middle). The bone ends are reduced and pinned with no soft tissue tension due to the shortening (right)