DOI: https://doi.org/10.36347/sjmcr.2026.v14i04.011

Pages: 636-639

Congenital fibular deficiency, also known as fibular hemimelia, is a rare lower-limb malformation. We report the case of a 7-year-old boy presenting with right lower-limb deformity, limping, gait instability, difficulty wearing shoes, and an 8-cm limb-length discrepancy. Clinical and radiological assessment showed a shortened tibia, a proximally visible hypoplastic fibula, and severe terminal foot deformity. GAITRite analysis revealed abnormal gait without prosthesis and improvement after fitting a new tibio-pedal prosthesis. This case highlights the value of combining clinical, radiological, and instrumented gait assessment, and emphasizes the importance of regular prosthetic adaptation in growing children.