Fig. 4

Male 25-year-old patient with bone sarcoma of the tibia: a preoperative plain X-ray; b, c preoperative MRI for diagnosis and staging; d, e postoperative X-ray with Ilizarov external fixator after fixation of the fibula with two interfragmentary screws; f, g plain X-ray taken six months postoperatively; h, i stress fracture after the Ilizarov fixator and above-knee cast was applied; j X-ray showing union of stress fracture; k plain X-ray taken 18 months postoperatively, showing fibula hypertrophy