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Ankle reconstruction and lengthening strategy in type II fibular hemimelia: a report of two cases
Abdul Razak Sulaiman1, Ismail Munajat1, Emil Fazliq Mohd1
1Department of Orthopaedics, School of Medical Sciences, Universiti Sains Malaysia (USM), Kubang Kerian, 16150 Kota Bharu, Kelantan, Malaysia.
Abstract:
Limb lengthening of fibular hemimelia is associated with progressive ankle valgus deformity. We reported a successful tibial lengthening in fibular hemimelia without recurrence of ankle valgus in 2 cases. The procedure involved 2 stages. First stage was a resection of the fibular remnant followed by a bending osteotomy through the distal tibial physis before the age of 2 years old. The second stage was a tibia lengthening up to 25% of its original segmental length performed at the age of 5 years old. There was neither progressive ankle valgus nor distal tibial growth arrest observed at 4 years follow-up.
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