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Only a severely disturbed ankle function was considered a contraindication for reconstructive surgery [7].
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However, several clinical and biomechanical studies have reported that partial resection of the fibula can impair knee stability, disturb ankle kinematics significantly and cause weakness of the deep muscles [ 6– 9].
Most patients will achieve a good ankle function after this semi-functional treatment [8, 9].
A functional evaluation of ankle function was also used.
i) Subjective ankle function, assessed using the Lower Extremity Functional Scale (LEFS) [ 32].
Recently, powered prostheses have been designed to provide active ankle power generation with the goal of restoring biological ankle function.
At follow-up 3 years after surgery, the patient had recovered full range of motion of the ankle and full ankle function.
Ankle rotations during straight walk and step turn were measured using a camera system to study the ankle function in the frontal plane during the turn.
Ankle function was satisfactory only in the 3 patients in whom the rods were stopped just above the ankle.
Subjective ankle function as measured by OMAS, LAS and self-rated ankle function increased between the two follow-ups in the total sample.
In that study neither subjectively scored ankle function or quality of life was evaluated [ 12].
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