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This case demonstrates the success of the Ilizarov method in restoring both fibular length and normal ankle anatomy.
It also shows the Ilizarov method as a successful means of restoring both fibular length and normal ankle anatomy with excellent clinical outcome.
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An Orthofix monolateral external fixator was applied restoring both distal tibial and fibular length and alignment (c and d).
The neonate had bilateral short humeri, radii and ulnae with metaphyseal flaring, as well as a short tibia and fibula with metaphyseal flaring, mildly increased fibular length and a generalized brachydactylia with bullet shaped proximal and middle phalanges.
Additionally spanning and articulated external fixators can restore fibular length, alignment and stability by ligamentotaxis and by virtue of half-pins inserted into the neck of the talus and calcaneum [48].
Of these, eight reflected the predicted negatively allometric trend (e.g., femoral, ulnar, and radial length), and seven reflected isometry (e.g., fibular length).
The ratio of mean fibular length to tibial length was 1.05 (0.91–1.11) preoperatively and 0.83 (0.65–0.95) postoperatively.
No tibial or fibular length discrepancy is apparent.
If internal fixation is required for the lateral malleolus, this procedure is performed first to restore fibular length.
This case demonstrates the use of the Ilizarov method to regain fibular length following excision of a distal tibial deforming osteochondroma.
Ray et al. [25] specified that the fracture pattern must be transverse and short oblique or minimally comminuted, otherwise it is not possible to maintain fibular length with intramedullary screws.
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