Complete absence of Tibia

Congenital Tibial Hemmelia
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Before treatment

Before treatment

This 8 year old girl had a complete absence of her Tibia. The fibula was high riding and the knee was having a flexion deformity of more than 90 degrees. The shortening in the leg was more than 20 cms. 

              

During treatment

The fibula was gradually brought under the femur and straightened out and was brought on top of the ankle.Lengthening was performed in the femur as well as in the fibula and also in the gap of the knee joint.

 

after treatment

after treatment



At the end of 8 months of treatment the limb was straight and the knee was fused with an achievement of more than 16 cms of length in the first stage of treatment.

 

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