symes

Fibula hemimelia

Deficiency of bony elements on lateral side of lower limb

- characterised by hypoplastic or aplastic fibula

Terminal

- abnormal foot

Intercalary

- normal foot

Most common congenital deformity of long bones

- M:F 2:1

- DM > 10 years

- chronic hyperglycaemia

- impaired vision or joint mobility

- lack education

- increasing age

- previous amputation

- blood flow

- soft tissue envelope

- deformities / Charcot collapse

- sensation

- contractures - Achilles tendon, knee, toe