case_images: PMC4719225_01
case_images: 20 year old female presenting with compound fracture of tibia treated with debridement and external fixator.
case_images: JOCR-3-11-g001.jpg
case_images: PMC4719225_01_JOCR-3-11-g001.jpg
case_images: F1
case_images: Fracture was fixed using a biplanar external fixator (Fig. 1).
case_images: three and half months post injury radiographs showing segmental tibia fragment with good union response at the proximal end; however the distal end appeared to be rounded with non bridging callus.
case_images: JOCR-3-11-g002.jpg
case_images: PMC4719225_01_JOCR-3-11-g002.jpg
case_images: F2
case_images: Radiographs showed that the segmental tibia fragment was showing good union response at the proximal end; however the distal end appeared to be rounded with attempt to callus formation which is non bridging (Fig. 2).
case_images: Radiograph showing bridge fibula graft done with stabilization using two screws and iliac crest cancellous bone graft between the tibia and fibula. Intact fibula can be appreciated to add a strut support to the tibia
case_images: JOCR-3-11-g003.jpg
case_images: PMC4719225_01_JOCR-3-11-g003.jpg
case_images: F3
case_images: This was done to make a rigid strut with cancellous graft in the middle (Fig. 3).
case_images: Clinical photographs five years post bridge grafting showing good ankle range.
case_images: JOCR-3-11-g004.jpg
case_images: PMC4719225_01_JOCR-3-11-g004.jpg
case_images: F4
case_images: Ankle dorsiflexion was restricted to 10  but the plantar flexion was around 50  (Fig. 4).
case_images: Five year follow up radiographs of the tibia showing good fracture unon with good alignment
case_images: JOCR-3-11-g005.jpg
case_images: PMC4719225_01_JOCR-3-11-g005.jpg
case_images: F5
case_images: The radiograph showed the fracture outline to have a silhouetted appearance with good union on posterior and medial side with good consolidation of the entire area of the bridge graft between tibia and fibula (Fig. 5).