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We report on 21 cases with combined soft tissue and far reaching bone defects of the lower leg. The bone defects were bridged by the fibula-pro-tibia-operation. In eleven patients the restoration of the full weightbearing leg was achieved. Five patients have to use a supporting walking splint at the end of the medical treatment. In four cases we found fistulas without secretion. Five amputations of the lower leg were unavoidable.
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