{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:49Z","timestamp":1783509289481,"version":"3.55.0"},"reference-count":12,"publisher":"MDPI AG","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:p>Isolated congenital pseudarthrosis of the fibula is a rare entity with a limited number of cases reported in the literature. Treatment is challenging because of recalcitrant nonunion and because no consensus about the best treatment plan exists. We report a case of isolated congenital fibular pseudarthrosis with valgus deformity of the ankle. The patient had a history of two failed operations. We used a novel surgical plan that combined tibiofibular synostosis with fibular segment transfer through a unilateral external fixator. The patient showed good early results with fibular union. We advocate the combination of tibiofibular synostosis and fibular segment transfer to restore the integrity and stability of the ankle in recalcitrant isolated congenital fibular pseudarthrosis cases with a history of failed surgery.<\/jats:p>","DOI":"10.7547\/21-255","type":"journal-article","created":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T16:33:57Z","timestamp":1704818037000},"source":"Crossref","is-referenced-by-count":1,"title":["Treatment of Recalcitrant Isolated Congenital Fibular Pseudarthrosis: Fibular Segment Transfer and Tibiofibular Synostosis with Unilateral External Fixator"],"prefix":"10.3390","volume":"113","author":[{"given":"Damla Fidan","family":"Yamanel","sequence":"first","affiliation":[{"name":"Istanbul University-Cerrahpasa, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bedri","family":"Karaismailoglu","sequence":"additional","affiliation":[{"name":"Istanbul University-Cerrahpasa, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Turgut Nedim","family":"Karaismailoglu","sequence":"additional","affiliation":[{"name":"Istanbul University-Cerrahpasa, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"Orthopedics","first-page":"1225","article-title":"Treatment of congenital pseudarthrosis of the fibula with interposition allograft","volume":"21","author":"DiGiovanni CW","year":"1998","unstructured":"DiGiovanni CW, Ehrlich MG: Treatment of congenital pseudarthrosis of the fibula with interposition allograft. 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J Pediatr Orthop 28: 825, 2008."},{"key":"B6","series-title":"Clin Orthop Relat Res","first-page":"223","article-title":"Biomechanical study on the load-bearing characteristics of the fibula and the effects of fibular resection","volume":"279","author":"Goh JC","year":"1992","unstructured":"Goh JC, Mech AM, Lee EH, et al: Biomechanical study on the load-bearing characteristics of the fibula and the effects of fibular resection. Clin Orthop Relat Res 279: 223, 1992."},{"key":"B7","series-title":"J Pediatr Orthop","first-page":"176","article-title":"Valgus deformity of the ankle joint: pathogenesis of fibular shortening","volume":"5","author":"Dias LS","year":"1985","unstructured":"Dias LS: Valgus deformity of the ankle joint: pathogenesis of fibular shortening. 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J Bone Joint Surg Am 49: 463, 1967."},{"key":"B10","series-title":"J Pediatr Orthop B","first-page":"234","article-title":"Fibula pseudarthrosis revisited treatment with Ilizarov apparatus: case report and review of the literature","volume":"10","author":"Ng BKW","year":"2001","unstructured":"Ng BKW, Saleh M: Fibula pseudarthrosis revisited treatment with Ilizarov apparatus: case report and review of the literature. J Pediatr Orthop B 10: 234, 2001."},{"key":"B11","series-title":"J Clin Orthop Trauma","first-page":"797","article-title":"Isolated congenital pseudarthrosis of the fibula: a report of two cases and review of the literature","volume":"10","author":"Cherrad T","year":"2019","unstructured":"Cherrad T, Zejjari H, Bousba\u00e4 H, et al: Isolated congenital pseudarthrosis of the fibula: a report of two cases and review of the literature. 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