Systematic radiographic evaluation of tibial hemimelia with orthopedic implications

Kaplan-List, Katia; Klionsky, Nina; Katz, Michael E.

doi:10.1007/s00247-016-3730-8

Cited by 9 publications

(5 citation statements)

References 31 publications

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“…The classification of this patient's presentation was in line with Paley type 5c, with the complete absence of the tibia, absence of the patella, and dislocated fibula, or Jones type I, with the absence of a visible tibia. 18 Previous reports of surgical management of this classification of TD involve using two temporary wires inserted at the fibula and the other hooked over the proximal epiphysis. Then, fixator rings were applied to reduce the fibula and knee contractures and repeated for distal ring and foot contractures.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Calcaneus Transfers for the Treatment of Congenital Tibial Deficiencies: A Novel Surgical Technique and Case Report

et al. 2022

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Tibial deficiency (also known as tibial hemimelia) is a rare condition with variable presentation. A 2-month-old patient presented with absent bilateral tibias. When the patient was 1 year, a novel reconstructive surgery was done. A bilateral fibular resection with pedicled calcaneus transfer was done, allowing for transfer of the calcaneus along with the overlying glabrous skin and soft tissues to the end of the femur. The patient was permitted to weight-bear after the 4-week postoperative follow-up. At the six-month follow-up, the patient was able to pull to stand and walk with assistance without any reports of pain.

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Section: Discussionmentioning

confidence: 99%

Bilateral Calcaneus Transfers for the Treatment of Congenital Tibial Deficiencies: A Novel Surgical Technique and Case Report

et al. 2022

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“…However, in younger children, non-ossified cartilage or an anlage will not be visible. A well-developed distal femur may suggest but does not guarantee the presence of a proximal tibia [7]. More information can be obtained from serial radiographs as the child matures, but magnetic resonance imaging (MRI) and ultrasound may be utilized to confirm further detail, especially if no proximal tibia is present on radiographs.…”

Section: Discussionmentioning

confidence: 99%

Deformity Reconstruction Surgery for Tibial Hemimelia

Chong

Paley

2021

Children

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Tibial hemimelia is a rare congenital deficiency with a wide spectrum of pathology and deformity. This paper aims to give a comprehensive review of tibial hemimelia, with a concise summary of the history, pathology, and clinical findings of tibial hemimelia, while providing treatment recommendations and a review of the current literature. Classifications and surgical treatments are discussed, including amputation, limb reconstruction, and lengthening. Type-specific treatments are also discussed, including staged distraction correction of joint contractures of knee and ankle, Weber patelloplasty, fibular centralization, knee and ankle arthrodesis, implantable articulated distractors, and the role of femoral shortening. Amputation is a simpler and easier solution for many patients; however, reconstruction options continue to evolve, improve, and provide better functional outcomes in many cases. Factors favoring surgical reconstruction include the presence of a knee joint/proximal tibia, and the presence of a patella and quadriceps mechanism.

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“…Tibial hemimelia is a rare congenital anomaly characterized by insufficiency of the tibia longitudinally with a comparatively intact fibula. The occurrence of congenital deficiency of the tibia is approximately 1 per 1 million live births [2][3][4][5][6][7]. The percentage of monozygotic twins is about 0.8%; therefore, the occurrence of tibial hemimelia in monozygotic twins is 1 case per 125 million [4].…”

Section: Introductionmentioning

confidence: 99%

Usual Presentation Has Odds: Unilateral Tibial Hemimelia in One of Dizygotic Twins

Al-Chalabi¹,

Sulaiman²

2021

Cureus

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Tibial hemimelia is a relatively rare congenital tibial longitudinal deficiency (approximately 1 per 1 million live births), unilateral or bilateral, with a relatively intact fibula. Hemimelia results from a disruption of the lower limb developmental field during embryogenesis due to slow or even abort of chondrification process, which results in leg length discrepancy. Affected leg commonly appears short and deformed with knee, ankle, and foot involvement. It may present with a variety of associated anomalies. Surgical treatment varies according to the type and degree of deformity, and reconstructive interventions are still limited. Reported cases of tibial hemimelia are very infrequent, especially tibial hemimelia in twins. Usually, the cases were in single embryo or less frequently in one of the monozygotic twins, but no reported cases regarding tibial hemimelia in one of the dizygotic twins as this article reports.

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Systematic radiographic evaluation of tibial hemimelia with orthopedic implications

Cited by 9 publications

References 31 publications

Bilateral Calcaneus Transfers for the Treatment of Congenital Tibial Deficiencies: A Novel Surgical Technique and Case Report

Bilateral Calcaneus Transfers for the Treatment of Congenital Tibial Deficiencies: A Novel Surgical Technique and Case Report

Deformity Reconstruction Surgery for Tibial Hemimelia

Usual Presentation Has Odds: Unilateral Tibial Hemimelia in One of Dizygotic Twins

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