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The purpose of our study was to analyze limb lengthening in fibular hemimelia type II. Ten patients underwent 16 tibia lengthenings. The mean tibia shortening was 5.8 cm. We used the Ilizarov technique in all cases. The mean follow-up time was 7.2 years. The mean lengthening was 23% of the former length. The healing index was 50.8 days/cm. In the final examination six patients were skeletally mature, equal limb length and functional foot positioning were achieved in four of them. Complications were observed during 14 lengthenings (87.5%). Although lengthening in fibular hemimelia is difficult, elongation with axis and foot correction may offer an alternative to amputation.
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http://dx.doi.org/10.1097/01.bpb.0000184949.00546.04 | DOI Listing |
Unfallchirurgie (Heidelb)
August 2025
Klinik für Unfallchirurgie und Orthopädie, BG Klinik Ludwigshafen, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen am Rhein, Deutschland.
Bone defects in the limbs may result from trauma, debridement during osteitis or pseudarthrosis resection or tumors [1]. Treating bone defects of the femur and tibia poses a substantial challenge in trauma surgery and orthopedics. Interdisciplinary orthoplastic treatment combined with soft tissue reconstruction is often necessary to preserve the extremity and its function.
View Article and Find Full Text PDFJ Orthop Case Rep
July 2025
Department of Orthopaedic and Trauma, Cliniques Universitaires Saint-Luc UCL, Brussels, Belgium.
Introduction: Post-traumatic fibular shortening results in malrotation and lateral talar tilt, disrupting joint congruence and increasing stress. These malunited ankle fractures lead to complications such as chronic pain, reduced mobility, and post-traumatic osteoarthritis. The impact of these malunions highlights the importance of anatomical reconstruction to restore biomechanical balance and prevent complications.
View Article and Find Full Text PDFFront Pediatr
May 2025
Department of Pediatric Orthopedics, Shanghai Children's Medical Center GuiZhou Hospital, Shanghai Jiao Tong University School of Medicine, Guiyang, China.
Introduction: Congenital Fibular Hemimelia (CFH), also known as congenital absence of the fibula, has an incidence of approximately 5.7-20 cases per million live births. Clinically, it manifests as partial or complete absence of the fibula, accompanied by tibial shortening and bowing, ball-and-socket or dish-shaped ankle joints, and tarsal anomalies.
View Article and Find Full Text PDFJBJS Rev
June 2025
International Center for Limb Lengthening, Sinai of Baltimore, Baltimore, Maryland.
» NF1 Link and Pathophysiology: Congenital pseudarthrosis of the tibia (CPT) is strongly associated with neurofibromatosis type 1 (NF1), where loss of normal NF1 gene function impairs bone formation and promotes fibrous hamartoma, resulting in recurrent tibial nonunion.» Classifications and Diagnostics: Multiple radiographic classifications (Andersen, Crawford, Boyd, Paley, etc.) guide clinical decision making, while newer imaging (magnetic resonance imaging, quantitative ultrasound) refines diagnosis and helps tailor interventions.
View Article and Find Full Text PDFOrthop Traumatol Surg Res
September 2025
c/o MCO Congrès Villa Gaby 285, Corniche Kennedy, 13007 Marseille, France.
Introduction: Fibular hemimelia is a rare congenital condition characterized by hypoplasia of a bone segment associated with malformations. Its clinical presentation is highly variable, not only in terms of the types of malformations but also their severity. If untreated, it can lead to significant functional impairments.
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