Figure 1: (Patient no. 7) (a) Radiograph of a 9-year-old girl with Ewing’s sarcoma of the distal tibia diaphysis. Defect reconstruction (12 cm) was achieved by using bilateral fibular graft and plate osteosynthesis. Due to the small remaining distal epiphyseal fragment the screws had to be placed in the epiphysis. (b) Radiographic results 29 months after tumor resection giving good evidence of bony healing. The epiphyseal screws have been removed. Nevertheless the ankle shows a mild valgus deformity resulting in an MSTS score of 93%.