Figure 1: Computed tomography reconstruction of the right affected leg before lengthening procedure (a), and radiographic presentation of the right affected leg before (b) and after (c) bone-lengthening procedure. A complete absence of the right fibula is displayed. The tibia has a dysmorphic appearance, being shortened and with an anterior curvature. The foot has an equinovalgus position. There is a diffuse alteration in the trabecular pattern of the tibia and of the foot bones. Astragalus-calcaneal dysmorphia and syndactyly of the 5° ray can be observed, with the presence of metatarsal and proximal phalanx, with bifurcation from this segment