Introduction The association of fibular duplication with metatarsal diplopodia is extremely rare with only a few cases reported in the medical literature. Case presentation We present a 4-month-old girl with left tibial agenesis with fibular duplication (mirror foot) and metatarsal diplopodia. Conclusion The case report highlights the need for an understanding of this rare congenital anomaly which may be seen only once in the working lifetime of an orthopaedic surgeon.
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