Fibular hemimelia (FH) is a deformity of the lower leg, characterized by the absence of part or all of the fibula bone. Limb length discrepancy, foot deformities, and knee abnormalities oftentimes are associated with FH.
Fibular Hemimelia has no known cause and is not hereditary.
A shortened deformed limb and foot is typically seen on one side or both, at birth. FH is diagnosed most commonly by physical examination and confirmed on plain radiographs. MRI is utilized to determine the exact nature of the specific hemimelia.
Treatment requires a keen familiarity with FH as well as its different types and associated problems of the femur and knee. The SUPERankle, which includes releases, osteotomies of the heel and often the foot, shortening of the tibia, and freeing of nerves and blood vessels, may be quite complicated and difficult. Associated problems such as a knock knee deformity may be treated with a small procedure called guided growth. Complex limb lengthening with protection of the knee is often needed. Ligament reconstruction of the knee is commonly needed as well.