J Korean Foot Ankle Soc.  2021 Dec;25(4):177-180. 10.14193/jkfas.2021.25.4.177.

Operative Treatment for Fibular Shortening after Trauma: A Case Report

• Kim J
• Kim GL
• Lee CH

• KMID: 2523299
• DOI: http://doi.org/10.14193/jkfas.2021.25.4.177

Abstract

Pediatric ankle fractures can cause physeal injuries which can lead to the shortening of the fibula. This induces a lateral shift of the talus, valgus tilt, and instability of the ankle joint, which can result in an arthritic change in this joint. Patients with a shortening of the fibula may complain of constant pain and restricted movements in their daily lives and during sports activities. Ankle reconstruction with fibula lengthening Z-osteotomy can provide excellent results if arthritis is absent or minimal, especially in young and active patients. To the best of the authors’ knowledge, this is the first report in South Korea regarding the treatment of fibula shortening following a growth arrest due to injury.

Keyword

Ankle reconstruction; Physeal closure; Shortening of the fibula; Fibular lengthening; Z-osteotomy