Can you help me compile here whether your doctors fix both ends of the fibula?

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For internal tibias I mean

Youtube's closed captions did not transcribe all the words correctly, but this gives a rough idea of what Dr. Paley (he is not my doctor, but I am going to find out next week what my doctor DR. Giotikas does) does:

See 1:26:00 roughly in this video:



1:26:18
two okay so that's so I I fixed the fibula at both ends most people fix a
1:26:24
figure only at the lower end uh why do I fix it at both ends at the upper end that has something else it's attached to
1:26:30
a ligament the lateral collateral ligament of your and if you don't fix it there it'll pull down a bit and when it
1:26:39
falls in the lateral clutter ligament it can actually make it difficult for you to straighten your knee so you can avoid
1:26:45
that the second thing is um if you don't fix it at both ends it
1:26:51
may prematurely consolidate the fibula so so what some people do and I think
1:26:57
this person did it they'll go and remove a segment of the fibula
1:27:03
thinking then it won't pull but then you get a non-union you actually get an area
1:27:08
of the fibula that never heals and that is a problem in many many ways first of
1:27:14
all the migration of the bottom second of all you know so ankle pain third of all if
1:27:20
you ever pull the tibial Rod out all the students goes on the table you have a higher rate of refracture of the tibia
1:27:26
if fibula is not United so I mean there's so many many things that you
1:27:33
know people just do silly things now let's talk about the main question you

I did not quite understand but I am under the impression (maybe an incorrect impression?) that Dr. Paley thinks that both ends of the fibula should be fixed to prevent the problems described above

I'm a bit worried, I'm gonna find out if Dr. Giotikas does this or not

Edit Post

Dr. Giotikas I believe (I might be mistaken) said that surgeons all agree the lower end of the fibula should be fixed. However, he said that at a conference of surgeons from around the world, they were about 50/50 on the issue of whether the upper fibula should be fixed. He told me the reasons for and against but it went way over my head

Wonder if Dr. Assayag has any comment on this?

Does it affect anything the patient does or no?