Affiliations: Department of Physical Medicine and Rehabilitation,
King George Medical University, Lucknow, UP, India
Note: [] Corresponding author: V.P. Sharma, Department of Physical
Medicine and Rehabilitation, King George's Medical University, Lucknow, U.P.,
India. Tel.: +91 9415027389; E-mail: [email protected]
Abstract: 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 1st
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.
