Fibular transfer for congenital absence of the tibia.
In patients with congenital absence of the tibia, construction of a knee joint by transferring the fibula under the femoral condyle gives satisfactory results, provided a strong quadriceps is present. In the rare patient with an associated proximal focal femoral deficiency on the same side, even in the absence of a strong quadriceps, this procedure with a fibulofemoral fusion will give a longer stump, allowing better prosthetic fitting. The procedure is performed as early as the first year of life.
D001178:Arthroplasty / Q000379:methods*; D001847:Bone Diseases / Q000151:congenital* / Q000235:genetics; D002648:Child; D005260:Female; D005360:Fibula / Q000601:surgery*; D006801:Humans; D007223:Infant; D007717:Knee / Q000601:surgery; D008297:Male; D013977:Tibia / Q000002:abnormalities* / Q000601:surgery