KNEE, LEG & ANKLEFibular hemimelia – diagnostic management, principles, and results of treatmentOberc, Artur; Sułko, JerzyAuthor Information Department of Pediatric Orthopaedics and Traumatology, University Children’s Hospital, Kraków, Poland Correspondence to Artur Oberc, MD, Department of Pediatric Orthopaedics and Traumatology, University Children’s Hospital, Wielicka Street 265, Kraków 33-663, Poland Tel: +48 126 581 520; fax: +48 126 581 325; e-mail: [email protected] Journal of Pediatric Orthopaedics B: September 2013 - Volume 22 - Issue 5 - p 450-456 doi: 10.1097/BPB.0b013e32836330dd Buy Metrics Abstract The objective of this study is to present treatment of fibular hemimelia along with the complications, results, and an algorithm for treatment indications on the basis of authors’ experience. A group of 31 patients was studied. In patients fulfilling the criteria for amputation, Syme’s amputation should be performed. Elongation should be performed in case of type IA or IB fibular hemimelia, with a functional foot with more than three rays, leg shortening less than 5 cm at birth, and less than 10 cm at 9 years of life. The combination of epiphysiodesis with elongation produces the best outcome and is best accepted by the patients. © 2013 by Lippincott Williams & Wilkins, Inc.