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Journal of Bone and Joint Surgery, 1961;43:625-699.
© 1961 by The Journal of Bone and Joint Surgery, Inc

Amputation and Prosthesis as Definitive Treatment in Congenital Absence of the Fibula

Leon M. Kruger M.D.1 and Richard D. Talbott M.D.1

1 Shriners' Hospital for Crippled Children, Springfield

Sixty-two instances of congenital absence of the fibula occurring in forty-eight patients are reported. The transition of treatment from the conservative approach of correction of deformity, using plaster casts, bracing, platform braces, and built-up shoes, to the more radical approach of amputation and prosthesis is presented. End-bearing stumps are recommended for both boys and girls because of the utility of the stump, with or without the prosthesis; the more stable prosthetic gait with end-bearing; and the minimum prosthetic upkeep of these prostheses with few moving parts. Absence of complications in the stump is an important feature in these end-bearing amputations, with no revisions reported to date. The procedure of earlier amputation and fitting of a prosthesis is recommended.


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