Figure 8 Varus deformity secondary to post-traumatic physeal arrest. (a) standing preoperative radiograph showing valgus deformity with marked differential growth between the tibia and fibula with fibular overlengthening, asymmetrical joint space with talar tilt (abnormal TT angle) and a CORA lies very close to the ankle joint. (b) Intraoperative assessment of the correction and immediate postoperative radiograph after proximal partial fibulectomy, epiphysiodesis of the fibula, and a second fibular shortening osteotomy for ankle reconstruction, and a medial opening wedge SMOT. (c) 26 weeks postoperatively showing satisfactory result regarding deformity correction with united both osteotomies. SMOT, supramalleolar osteotomies.