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<p>Abstract</p> <p>Introduction</p> <p>The association of fibular duplication with metatarsal diplopodia is extremely rare with only a few cases reported in the medical literature.</p> <p>Case presentation</p> <p>We present a 4-month-old girl with left tibial agenesis with fibular duplication (mirror foot) and metatarsal diplopodia.</p> <p>Conclusion</p> <p>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.</p>