During the first operation a circular hexapod external fixator was applied and femoro-pedal distraction was undertaken over several months.

The present study evaluated the role of femoro-pedal distraction using a circular external fixator in reconstructive treatment of tibial aplasia.

The purpose of femoro-pedal distraction is to realign the limb and achieve soft tissue lengthening to allow subsequent reconstructive surgery.

Femoro-pedal distraction efficiently prepares the limb by realigning the leg and soft tissue lengthening.