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Long-Term Outcomes on Bone Growth Following Reconstruction of the Distal Fibula Using a Pedicled Second Metatarsal
Thomas Yvonnet1, Wyçal Saraoui2, Bernard Fraisse3
1Department of Orthopedic and Traumatologic Surgery, CHU de Rennes Hôpital Pontchaillou, Rennes, France.
Case Report:
This report describes a 22-year-old man who sustained a severe left ankle injury caused by a lawnmower at the age of 4 years, resulting in loss of the lateral malleolus. He was treated with a pedicled composite flap using the ipsilateral second metatarsal and was followed until skeletal maturity. A favorable functional outcome was maintained for 15 years.
Conclusion:
At final follow-up after growth completion, no limb length discrepancy was observed. The ankle was stable, painless, and preserved good range of motion, with no significant donor site morbidity. This surgical technique represents a technically simpler alternative with lower morbidity compared with vascularized proximal fibular epiphyseal transfer for lateral malleolus reconstruction in growing children.
