Reconstruction surgery in posttraumatic deformities in the lower leg and the foot is indicated under different aspects: restoration of function, improvement of prognosis, improvement of function and melioration of physical appearance. Technically effective surgical means are available to date, such as: metaphyseal closing and opening wedge osteotomies, diaphyseal step-cut osteotomies, diaphyseal and metaphyseal displacement osteotomies, lengthening osteotomy, external fixation, revision of infections, joint revisions, scar revisions, nerve revisions, plastic skin operations.