title: Reconstruction of the lateral malleolus in a type-Ib fibular hemimelia with a microvascular proximal fibular flap: a case report.
abstract: Fibular hemimelia, or fibular hypoplasia-aplasia, is the most frequent congenital long-bone deficiency. There is still some debate on reconstruction versus amputation for the severe type Ib and type II cases. Limb-length discrepancy can be corrected with Ilizarov methods, but ankle stability remains a problem. The absence of the lateral malleolus destabilizes the mortise in valgus and ankle fusion is usually needed. A case of lateral malleolus reconstruction in a teenage patient with severe type-Ib fibular hemimelia using a contralateral free proximal fibular epiphyseal transfer is reported.
authors.affiliation: Reconstructive Surgery, Clinica Cavadas, Hospital de Manises, Valencia, Spain.
authors.forename: Pedro C
authors.initials: PC
authors.lastname: Cavadas
authors.forename: Alessandro
authors.initials: A
authors.lastname: Thione
mesh_terms: D000293:Adolescent; D004480:Ectromelia / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005360:Fibula / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D055806:Microvessels / Q000637:transplantation*; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013639:Tarsal Bones / Q000000981:diagnostic imaging / Q000601:surgery*