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Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_5 | Pages 38 - 38
1 Apr 2022
Gangadharan S Giles S Fernandes J
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Introduction

Fibula contributes to weight bearing and serves as a lateral buttress to the talus. Fibular shortening leads to ankle valgus, distal tibial epiphyseal wedging and ankle instability. Trauma, infection and skeletal dyplasias are the common causes of fibular shortening in children. Aim was to review this cohort who underwent fibular lengthening and ankle reconstruction

Materials and Methods

Retrospective review from a prospective database of clinical and radiographic data of all children who underwent fibular lengthening for correction of ankle valgus. Distraction osteogenesis with external fixator was performed for all cases.


Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_5 | Pages 18 - 18
1 Apr 2022
Varasteh A Gangadharan S James L
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Introduction

Amputation or disarticulation is a reliable option for management of severe foot deformities and limb-length discrepancies, the surgical restoration of which are unpredictable or unfavourable. Of the various surgeries involving foot ablation, Syme's amputation is preferred for congenital deformities as it provides a growing, weight bearing stump with proprioception and cushioning.

Materials and Methods

We reviewed data of all children who underwent Syme's amputation over the past 13 years at our institution. Surgical technique followed the same principles for Syme's but varied with surgeons.