Radiographic presentation of the same patient two years after new surgical intervention. Radiograph of the same patient in the age of eleven years old and two years after new surgical intervention. The patient underwent a simultaneous closed corrective osteotomy and lengthening of the tibia. Thirteen months after completion of the consolidation phase there is a marked improvement although a distal tibia angulation of 12° still remains. Insufficient lateral buttress of the talus contributes to a valgus deformity of the ankle.