In supine position on a radiolucent table, an osteotomy of the fibula was performed at the junction of the proximal and middle thirds through 4-cm incision. About 1cm of fibula was excised. Through a transverse incision at the lower pole of the tibial tubercle,

Reconstruction of extensive traumatic bone loss in children especially after gunshot injury represents a complex and challenging clinical entity with significant long-term morbidity. In 1986, A.C. Masquelet conceived and developed an original reconstruction technique for large diaphyseal bone defects, based on the notion of the induced a pseudo-membrane, This technique will be described in our case report.