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Early registration of cleft patients leads to underreporting of other associated anomalies. For a complete registration of associated congenital anomalies in cleft patients, reregistration at a later age is necessary.

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AnkleVascularized fibular graft a b s t r a c t After extraperiosteal harvesting of the fibular shaft in children, progressive valgus deformity of the donor-site ankle may pose a serious problem. We present three illustrative case-histories: three children became functionally impaired and required surgery. Pathogenesis, natural history and surgical options are discussed. A supramalleolar osteotomy combined with a distal fibular-tibial synostosis is a good option to correct valgus and eliminate instability in one surgical session.