A limb with an absent fibula is truly a limb dysplasia, with serious anomalies in the foot, the tibia, and the femur.
Tibial bowing is not affected by weight-bearing and braces. It may regress spontaneously, but will not progress.
Tibial osteotomies will unite.
The treatment required must be specific for each patient. It is suggested, however, that amputation should be performed early whenever shortening of more than three inches is anticipated.
Every effort should be made to perform a Syme type of amputation because the heel pad provides a durable stump which lengthens with growth.
Copyright 1960 by The Journal of Bone and Joint Surgery, Incorporated