A, Infected tibiotalocalcaneal arthrodesis with broken implant. B, Purulent material found at time of initial debridement and implant removal. C-G, Extensile approach is made, followed by osteotomies and contouring of the remaining bone until surfaces are apposed with the foot plantigrade; provisional fixation is obtained with Kirschner wires. H-K, A pre-built, static Ilizarov frame is applied to the foot with provisional fixation in place. L-N, Provisional fixation is removed and compression is applied to the bone surfaces through the external fixator. SEE TECHNIQUE 11.10.