- Partial or total absence of fibula is among most frequent limb anomalies.
- It is most common long bone deficiency and is the most common skeletal deformity in the leg.
- It most often is unilateral (present only on one side).
- Paraxial fibular hemimelia is the most common manifestation (only the postaxial portion of the limb is affected).
- It is commonly seen as complete terminal deficiency (lateral rays of the foot are affected as well).
- Hemimelia can also be intercalary in which case the foot remain unaffected.
- Although the missing bone is easily identified, this condition is not simply a missing bone.
- Males are affected twice as often as females in most series
What a big difference a year made right?! Yes. This IS the same child!!
Laura had a symes amputation (her foot was amputated at the ankle) to prepare her to wear a prosthetic leg. This was not a difficult decision due to the fact that Laura's foot was not a functioning foot. She had no ankle bones, and is missing her fibula. To amputate the foot so she could wear a prosthetic leg made sense to us.
These were taken January 5th 2010. The night before Laura's symes amputation.
|Our brave little girl|
It was hard to send my princess into surgery. She had only been home with us for a few weeks. She didn't speak very much English. Laura's surgery was at Shriners Hospital in Phillidelphia, PA. The surgeon preformed a symes amputation and an osteotomy of her tibia to straighten it. The two procedures took over 4 hours.
I ordered a special doll for Laura to help explain to her what her leg would look like, what a prosthetic leg looked like etc.
|Laura with her special doll, Faith|
Laura had a series of X-rays to show how her tibia and heel were healing. The day the rod came out was not very pleasant for her. : (
|Getting casted for her first prosthetic leg|
|Laura painted some pictures for the residents at the nursing home|
Here she is, just 10 weeks after surgery, trying on her leg and taking some first steps. The finished leg took 2 more weeks. Her stump was still pretty sore so the added time needed to make the leg was actually a good thing (although it didn't seem so at the time, I was so anxious to have her walking).
March 21, 2011
April 4, 2011
Her first unassisted steps!
April 4, 2011