Ilizarov lengthening in centralized fibula.
Tibial hemimelia often produces major limb length problems (1,6,9,15) as well as foot deformity. The decision to perform reconstructive surgery depends on the expected leg-length discrepancy, the anomalies of the foot, and the status of the knee (4,6,8,15). Congenital bone deficiencies usually have a constant rate of growth inhibition (8), and leg lengthening is often associated with more complications (5,13). The complication rate is also increased with the increased leg-length discrepancy (5). In tibial hemimelia with functioning quadriceps (types I and II) and a functional foot, centralization of the fibula onto the talus and synostosis with the proximal tibia is an accepted reconstructive procedure (1,4,6,7,9,15). However, when the transplanted fibula produces a functional limb for the patient, the correction of leg-length inequality would be a challenge. This is a report of such a case.
Javid
M
M
Namazee Hospital, Shiraz, Iran.
Shahcheraghi
G H
GH
Nooraie
H
H
D002648:Child; D004480:Ectromelia / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005360:Fibula / Q000000981:diagnostic imaging / Q000254:growth & development / Q000601:surgery*; D005500:Follow-Up Studies; D005684:Gait / Q000502:physiology; D006621:Hip Joint / Q000502:physiology; D006801:Humans; D018889:Ilizarov Technique; D007719:Knee Joint / Q000502:physiology; D007870:Leg Length Inequality / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular; D013977:Tibia / Q000002:abnormalities / Q000000981:diagnostic imaging; D016896:Treatment Outcome