DOI: 10.36347/sjams.2023.v11i06.006

Pages: 1013-1014

Unilateral tibial hemimelia is an anomaly characterized by the absence of the tibia. Tibial hemimelia is the rarest form of congenital longitudinal deficiency of the tibia with an incidence of 1 in 1,000,000 live births. It is characterized by deficiency of tibia with relatively intact fibula. It causes marked shortening of the limb with a severe equinovarus deformity. It may occur in isolated form or combined with other congenital anomalies. Some cases of tibia hemimelia are genetically transmitted as autosomal dominant or recessive, whereas others are sporadic. The treatment is always difficult and challenging. Amputation was the preferred treatment option specially in complete tibial absence; however, a conservative management is used in other types of the deformity.