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Revista Archivo Médico de Camagüey

On-line version ISSN 1025-0255


RODRIGUEZ RODRIGUEZ, Eugenio Isidro; ARREDONDO REYES, Reydy; LOPEZ MARRERO, Noelio  and  TAURA, Leonardo. Fibular hemimelia: a case presentation. AMC [online]. 2014, vol.18, n.4, pp.436-443. ISSN 1025-0255.

Background: fibular hemimelia is a defect in the long bones that can be partial or total and can be associated to other congenital anomalies of the femur, tibia and foot. Objective: to present a case of fibular hemimelia that was diagnosed in the outpatient clinics based on the clinical manifestations and radiographies. Clinical case: a ten-year-old, white, male patient. The mother of the patient said that the boy was born with a defect in the leg and had been under treatment with orthopedic footwear but since he did not get better he was taken to the outpatient clinics. During the physical examination, a valgus deformity in the ankle and claudication when walking could be observed. The patient had a lateral and anteroposterior radiography of the leg taken and when the absence of a part of the fibula and a deformity in the ankle articulation were noticed, it was decided to hospitalize the patient with the diagnosis of fibular hemimelia to operate through internal osteotomy of the tibia.  Conclusions: fibular hemimelia is considered an infrequent diagnosis in our area. The most recommended treatment is the surgical in order to improve the clinical manifestations.

Keywords : ECTROMELIA [diagnosis]; ANKLE [abnormalities]; OSTEOTOMY; FOOT; CASE REPORTS.

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