A rare case of tibial hemimelia, surgical technique and clinical results

We report a nine-year-old boy with a type IIIa tibial hemimelia, according to the new Paley classification.We describe the x-ray findings, the surgical treatment technique, and the prognostic course of the patient.Descriptions of such cases are very infrequent in the literature and type of treatment is still objectof debate

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Brown FW. The brown operation for total hemimelia tibia. In: Aitken GT, ed. Selected Lower-limb Anomalies. Washington: National Academy of Sciences; 1971:20e28.

Weber M, Schroder S, Berdel P, Niethard FU. Register zur bundesweiten € Erfassung angeborener Gliedmaßenfehlbildungen. Z Orthop. 2005 SepteOct;143(5):534e538. https://doi.org/10.1055/s-2005-872467. PMID: 16224672.

Weber M. New classification and score for tibial hemimelia. J Child Orthop. 2008 Jun;2:169e175. https://doi.org/10.1007/s11832-008-0081-5. PMID: 19308574.

Billroth T. Ueber einige durch Knochendefecte bedingte Krümmungen des Fusses. Arch Klin Chir. 1861;1:252e268.

Dankmeijer J. Congenital absence of the tibia. Anat Rec. 1935;62:179e194. https://doi.org/10.1002/ar.1090620205.

Schoenecker PL, Capelli AM, Millar EA, et al. Congenital longitudinal deficiency of the tibia. J Bone Jt Surg Am. 1989 Feb;71(2):278e287. PMID: 2918013.

Clark MW. Autosomal dominant inheritance of tibial meromelia. Report of a kindred. J Bone Jt Surg Am. 1975 Mar;57(2):262e264. PMID: 1112852.

Werner P. Ueber einen seltenen Fall von Zwergwuchs. Arch Gynaekol. 1915;104:278e300. https://doi.org/10.1007/BF01705987.

Stevens CA, Moore CA. Tibial hemimelia in Langer- Giedion syndrome-possible gene location for tibial hemimelia at 8q. Am J Med Genet. 1999 Aug 6;85(4): 409e412. https://doi.org/10.1002/(SICI)1096-8628(19990806)85:4<409::AIDAJMG19>3.0.CO;2-6. PMID: 10398269.

Prasad C, Quackenbush EJ, Whiteman D, Korf B. Limb anomalies in DiGeorge and CHARGE syndromes. Am J Med Genet. 1997 Jan 20;68(2):179e181. https:// doi.org/10.1002/(SICI)1096-8628(19970120)68:2<179::AIDAJMG11>3.0.CO;2-R. PMID: 9028454.

Laurin CA, Favreau JC, Labelle P. Bilateral absence of the radius and tibia with bilateral redu-plication of the ulna and fibula: a case report. J Bone Jt Surg Am. 1964 Jan;46:137e142. https://doi.org/10.2106/00004623-196446010-00014. PMID: 14104303.

Majewski F, Küster W, ter Haar B, Goecke T. Aplasia of tibia with split-hand/ split-foot de-formity. Report of six families with 35 cases and considerations about variability and penetrance. Hum Genet. 1985;70(2):136e147. PMID: 4007857.

Wiedemann HR, Opitz JM. Brief clinical report: unilateral partial tibia defect with preaxial polydactyly, general micromelia, and trigonomacrocephaly with a note on “developmental resistance”. Am J Med Genet. 1983 Mar;14(3): 467e471. https://doi.org/10.1002/ajmg.1320140310. PMID: 6859099.

Paley D. Tibial hemimelia: new classification and reconstructive options. J Child Orthop. Dec 2016;10(6):529e555. https://doi.org/10.1007/s11832-016-0785-x. Published online 2016 Dec 1, Epub Dec 1. PMID: 27909860.

Jones D, Barnes J, Lloyd-Roberts GC. Congenital aplasia and dysplasia of the tibia with intact fibula. Classification and management. J Bone Jt Surg Br. 1978 Feb;60(1):31e39. https://doi.org/10.2106/00004623-197860010-00005. PMID: 627576.

Epps Jr CH, Schneider PL. Treatment of hemimelias of the lower extremity. Long-term results. J Bone Jt Surg Am. 1989 Feb;71(2):273e277. https://doi.org/ 10.2106/00004623-198971020-00015. PMID: 2918012.

Brown FW. Construction of a knee joint in congenital total absence of the tibia (paraxial hem-imelia tibia): a preliminary report. J Bone Jt Surg Am. 1965 Jun;47(4):695e704. https://doi.org/10.2106/00004623-196547040-00004. PMID: 14301786.

Brown FW, Pohnert WH. Construction of a knee joint in meromelia tibia. A fifteen-year follow-up study, Abstract. J Bone Jt Surg Am. 1972 Jun;54:1333. 19. Khalifa MN, Ghaly NA. Surgical treatment of type II congenital dysplasia of the tibia. Pan Arab Orthop Trauma. 2004;8(2):129e134.

Paley D, Chong DY. Tibial hemimelia. In: Sabharwal S, ed. Pediatric Lower Limb Deformities: Principles and Techniques of Management. Switzerland: Springer; 2016:455e481.
Acta Orthopaedica et Traumatologica Turcica-Cover
  • ISSN: 1017-995X
  • Başlangıç: 2015
  • Yayıncı: Türk Ortopedi ve Travmatoloji Derneği
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