Limb Deficiency
A newborn presents with a short left leg, absent lateral rays of the foot, and a dimple over the anterior tibia. Examination reveals a bowed tibia, ball-and-socket ankle joint, and absence of the lateral two toes. Radiographs confirm complete absence of the fibula with femoral shortening. The parents ask about treatment options. Regarding fibular hemimelia:
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Fibular hemimelia (FH) is the most common congenital longitudinal limb deficiency; it is characteriz...
The Achterman-Kalamchi classification describes Type IA (partial fibula, proximal epiphysis intact),...
Fibular hemimelia is the rarest limb deficiency; it is always bilateral; the tibia is always normal;...
Treatment decision depends on predicted leg length discrepancy, foot function, and femoral involveme...
Syme or Boyd amputation with prosthetic fitting is preferred when discrepancy exceeds 15-20%, the fo...
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