Fig. 4

Follow-up X-rays and clinical photographs of the same patient. A Five years’ follow-up AP and lateral X-rays showing overgrowth of the tibia by 4 cm together with valgus ankle. B Five years’ follow-up clinical photographs. C Fifteen years’ follow-up AP view showing varus deformity at the knee with depression of the medial joint space. There is also valgus deformity at the ankle with 1.5 cm shortening. D Lateral X-ray of the leg and ankle shows total fusion of the ankle and subtalar joint and an increased calcaneal pitch angle. E, F Clinical photographs of the patient when he became 21 years old