Primary malignant bone tumours of the distal tibia or the distal fibula are very rare. Amputation has been a standard surgical treatment with satisfactory functional results obtained using an appropriate prosthesis. As the surgery of limb salvage has developed, reconstruction has been attempted using autograft, allograft, implanted prostheses and composites.

Primary malignant bone tumours of the distal tibia or the distal fibula are very rare. Amputation has been a standard surgical treatment with satisfactory functional results obtained using an appropriate prosthesis. As the surgery of limb salvage has developed, reconstruction has been attempted using autograft, allograft, implanted prostheses and composites.