Technique of fibular lengthening (see text). A, Five-hole plate is secured to fibula with two distal screws, and osteotomy is made. B, Lengthening is obtained with distraction device. C, Corticocancellous graft from tibia is placed in osteotomy, and compression is applied; remaining screws are inserted to attach plate to fibula. SEE TECHNIQUE 58.8.