Fibular Transfer for Congenital Absence of the Tibia

Christini, D; Ej, Levy; Fa, Facanha; Sj, Kumar

doi:10.1097/01241398-199305000-00020

Cited by 37 publications

(17 citation statements)

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“…Four of the 5 knee joints did not have strong quadriceps function (Ggrade 4), resulting in poor range of motion and progressive knee flexion contracture, which is consistent with the results of other previous reports. 3,5,6,8,10,12,13 In case 1, whose quadriceps tendon and patella were absent, the knee finally ankylosed, and our final treatment for this patient was a femoral-fibulocalcaneal arthrodesis (Fig. 4).…”

Section: Discussionmentioning

confidence: 95%

“…3,5,6,8,10,12,13 To date, only a few authors have described the effectiveness of foot centralization by means of talofibular arthrodesis. 4,11 In the present study, FIGURE 3.…”

Section: Discussionmentioning

confidence: 99%

“…6,12,13 Early amputation has generally been recommended for congenital deficiency of the tibia because it usually requires only one surgical procedure and allows the children to undergo straightforward prosthetic rehabilitation. 3,5,6,8,10,12,13 On the other hand, surgical correction of this deformity may obviate the need for a prosthesis but is difficult and challenging. 4,7,11 Multiple surgical procedures are required to correct deformities of the foot and the knee joint, as well as leg-length inequality.…”

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confidence: 97%

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Limb Salvage Treatment for Congenital Deficiency of the Tibia

Wada

Fujii

Takamura

et al. 2006

Journal of Pediatric Orthopaedics

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Nine limb salvage treatments were performed in 7 patients with congenital deficiency of the tibia. All feet showed equinovarus deformity and were centralized in a slightly equinus position by placing the distal end of the fibula into the posterior facet of the calcaneus. Tibiofibular fusion was performed in 4 patients with partial deficiency, and fibular transfer (fibular centralization; Brown procedure) in 5 with complete deficiency of the tibia. Callus distraction lengthening was performed repeatedly for leg-length discrepancy on either the femur or the centralized fibula. Satisfactory functional and cosmetic results were obtained in all limbs with partial deficiency, whereas in limbs with completely deficiency, none of the 5 knees treated by fibular transfer achieved a satisfactory functional result because of insufficient quadriceps strength, progressive knee flexion contracture, and persistent ligamentous instability. Nevertheless, in these 5 cases, all patients were ultimately able to withstand weight-bearing.

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Section: Discussionmentioning

confidence: 95%

“…3,5,6,8,10,12,13 To date, only a few authors have described the effectiveness of foot centralization by means of talofibular arthrodesis. 4,11 In the present study, FIGURE 3.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 97%

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Limb Salvage Treatment for Congenital Deficiency of the Tibia

Wada

Fujii

Takamura

et al. 2006

Journal of Pediatric Orthopaedics

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“…The most common abnormalities are coalition including subtalar coalition [10][11][12]17,18,21]. The ankle articu-lation may be abnormal with either a wide diastasis or a sagitally oriented joint [4]. Muscle, tendon and vascular development are often quite abnormal [11,17,18].…”

Section: Discussionmentioning

confidence: 99%

“…It is an uncommon condition occurring approximately in 1 per million births and may have a genetic origin [2]. Tibial deficiencies are characterized by equinovarus deformity of the foot on the affected limb whereas in fibular deficiencies, the foot is in equinovalgus [4,7,[14][15][16]19,23]. …”

Section: Introductionmentioning

confidence: 99%

Bilateral congenital deficiency of tibia: A case report

Sharma

Yadav

Gupta

et al. 2014

Journal of Pediatric Rehabilitation Medicine

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INTRODUCTION: Tibial hemimelia/amelia is a rare congenital anomaly characterized by deficiency of the tibia with relatively intact fibula. They can be identified as an isolated disorder or as part of malformation syndromes. This presentation expands the spectrum of tibial hemimelia characterizing its great clinical and radiological variability. OBSERVATION: A five year old female child, born to unaffected and non-consanguineous parents, presented with deformity and shortening of both legs. There was no other structural anomaly except in both lower limbs. Radiological imaging showed absence of the tibia, angulation of fibula and tarsal coalition of right side. Femur was seen to be normal in both lower limbs while patella, tibia and talus were absent on left side along with 1 st ray deficiency. Severe varus deformity was seen in both feet. The parents were not willing for corrective surgery, therefore extension prosthesis was devised. DISCUSSION AND CONCLUSION: We report a case of tibial hemimelia as well as to suggest methods to manage and rehabilitate such patients. A congenital malformations surveillance and record system needs to be developed to identify the demographic parameters, etiology, risk factors and associations of all types of limb deficiencies. Need is felt of a classification system which includes broader spectrum of limb malformations.

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Fibular Transfer for Congenital Absence of the Tibia

Cited by 37 publications

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Limb Salvage Treatment for Congenital Deficiency of the Tibia

Limb Salvage Treatment for Congenital Deficiency of the Tibia

Bilateral congenital deficiency of tibia: A case report

Angeborene Fehlbildungen an Kniegelenk und Unterschenkel

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