Among the multiple birth defects is fibular aplasia, which is a rare congenital frequency that is part of a low prevalence syndrome called FATCO, fibular aplasia (fibular aplasia), campomelia of the tibia (Campomelia tibial) and oligosyndactyly (Oligosyndactyly). We present the case of a male man of 31 months of age evaluated in the courtesy and prosthesis consultation in a rehabilitation house in the city of Bogotá, Colombia, with a history of FATCO syndrome and the family history of malformations abroad. Given the paucity of reports on this rare syndrome and the lack of a standardized treatment approach, evaluation of the prosthetic rehabilitation process is important.