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Foot and Ankle Deformities in Fibular Hemimelia: Narrative Review
1College of Medicine, Orthopedic Department King Saud University.
Orthopedic Reviews
|March 31, 2026
Summary
Fibular hemimelia treatment focuses on achieving a plantigrade foot, moving beyond amputation towards diverse surgical options with varied outcomes. This review examines foot and ankle strategies for fibular hemimelia.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Congenital limb differences
Background:
- Fibular hemimelia presents significant challenges, particularly foot and ankle deformities.
- Historically, amputation was the primary treatment for functional outcomes.
- Recent decades show evolving surgical approaches with variable results.
Purpose of the Study:
- To review surgical management of foot and ankle deformities in fibular hemimelia.
- To analyze outcomes of various surgical procedures.
- To provide a focused overview for clinicians.
Main Methods:
- Literature review of surgical techniques for fibular hemimelia.
- Analysis of reported outcomes for foot and ankle reconstruction.
- Focused review on congenital fibular deficiency treatment.
Main Results:
- Multiple surgical interventions are available for fibular hemimelia.
- Outcomes vary significantly across different procedures.
- Achieving a plantigrade foot remains the primary treatment goal.
Conclusions:
- Surgical management of fibular hemimelia foot deformities has advanced.
- A plantigrade foot is achievable through various reconstructive methods.
- Further research is needed to optimize surgical outcomes.
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