Fibular Hemimelia and Congenital Short Femur-Staged Approach in Child

Although fibular hemimelia (FH) is a rare congenital malformation, it is the most common congenital long bone deficiency. It varies in severity and includes fibular shortening and a possible constellation of findings, mainly femur and tibia shortening, knee valgus deformity and flexion contracture, and anteroposterior instability of the knee and ankle, as well as tarsal coalition and deficiency of the lateral rays of the foot. Foot function and extent of shortening of the limb at birth play a role in determining the best treatment option, mainly limb salvage or amputation.