articles: PDF OnlyManagement of Forme Fruste Fibular HemimeliaMaffulli, Nicola M.D., Ph.D., F.R.C.S.(Orth.); Fixsen, John A. MChir, F.R.C.S.* Author Information Department of Orthopaedics, University of Aberdeen Medical School, Aberdeen, Scotland *Department of Orthopaedics, The Hospital for Sick Children, London, England Journal of Pediatric Orthopaedics B: Volume 5 - Issue 1 - p 17-19 Buy Abstract Children with fibular hypoplasia and three- or four-ray feet have a forme fruste of congenital short tibia with absent or dysplastic fibula. We outline the criteria For management of this condition. Although fibular deficiency can be considered benign, two thirds of our patients underwent operation. Leg length inequality may require epiphysiodesis, leg lengthening, or simply a shoe raise. Only very occasionally, when the foot is nonfunctional, is amputation through the ankle undertaken. © Williams & Wilkins 1996. All Rights Reserved.