Reconstruction of the Ankle after Wide Resection of Distal Fibula Tumours: Case Series and Review of the Literature

Involvement of the distal part of the fibula by benign aggressive and malignant tumors remains to be a challenge for the treating surgeon. Such lesions require resection that consequently results in ankle instability [1]. Due to rarity of the condition reconstruction techniques vary, with variable results. The fibula is affected in 2.4% of primary bone tumors, [2] with the proximal third being more frequently involved than the distal segment [2,3]. Malignancies of the distal third of the fibula carry a better prognosis than proximal lesions [2], although some authors have not observed such prognostic difference [4].