Examination of the right lower extremity demonstrates shortening of the right thigh with a 10 degree flexion contracture present in the knee. The knee is noted to be in valgus. There is moderate anteromedial bowing present in the leg with a dimple present over the anterior aspect of the tibia at the apex of the bow. The foot is held in a position of severe equinovalgus with absence of the lateral two rays noted. There is syndactyly present among the remaining digits.
Circulation is normal and skin condition is good.
Overall, the right lower extremity is noted to be 5 cm. shortened when compared to the contralateral normal extremity. Attempts at ambulation were limited by the severe deformity present in the right lower extremity. Absent right fibula and lateral two rays of right foot with moderate anteromedial bowing of tibia. The right femur was also noted to be shortened. The patient initially underwent a corrective tibial osteotomy and Boyd amputation of right foot.