Progressive valgus deformity of the donor-site ankle after extraperiosteal harvesting the fibular shaft in children. Treatment with osteotomy and synostosis at one session.

Van der Veen, Fientje J C; Strackee, Simon D; Besselaar, Philip P · J Orthop · 2015

case_series · Level IV

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Abstract

After extraperiosteal harvesting of the fibular shaft in children, progressive valgus deformity of the donor-site ankle may pose a serious problem. We present three illustrative case-histories: three children became functionally impaired and required surgery. Pathogenesis, natural history and surgical options are discussed. A supramalleolar osteotomy combined with a distal fibular-tibial synostosis is a good option to correct valgus and eliminate instability in one surgical session.

Anatomy