title: [Preservation of the foot in a five-year-old child with bilateral congenital deficiency of the tibia].
abstract: Congenital tibial deficiency is a rare anomaly causing shortening and varus deformity of the lower extremity. Recent limb lengthening and foot repositioning techniques enable functional results with preservation of the foot. We present a five-year-old boy with bilateral congenital tibial deficiency of type 2 according to the Jones classification, who was treated with tibia-fibular fusion without Syme amputation. His ambulation depended on crawling. Radiographic examination showed a normally developed fibula with thickening in the distal portion, and only proximal tibia with absence of the distal part. He also had bilateral stiff equinovarus deformity. In a series of operations, he underwent bilateral tibia-fibular fusion and fibular osteotomy, subtalar arthrodesis and metatarsal osteotomy in the right foot, and subtalar arthrodesis in the left foot. At the end of a six-year treatment and follow-up, walking was achieved despite some degree of limping.
authors.affiliation: Department of Orthopedics and Traumatology (1. Ortopedi ve Travmatoloji Kliniği), Haydarpaşa Numune Training and Research Hospital, Usküdar, Istanbul, Turkey. bombacih@hotmail.com
authors.forename: Hasan
authors.initials: H
authors.lastname: Bombaci
authors.forename: Mücahit
authors.initials: M
authors.lastname: Görgeç
authors.forename: Serhat
authors.initials: S
authors.lastname: Yanik
mesh_terms: D002648:Child; D005360:Fibula / Q000002:abnormalities / Q000601:surgery; D005532:Foot Deformities, Congenital / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D010027:Osteotomy; D011859:Radiography; D019651:Plastic Surgery Procedures; D013977:Tibia / Q000002:abnormalities / Q000601:surgery