Fig. 7

Schematic diagram showing the proposed hypothesis. The diagram showing that a) the intact fibula acts as a strut and produces distraction forces at the fracture site and hinders the efficient decompression of medial compartment; b) proximal fibular osteotomy facilitates precise correction of deformity, improves the adverse biomechanics, decompresses the medial compartment more efficiently, and provides desirable biomechanical environment at fracture sites that enhances fracture.