TY - JOUR
T1 - Through-knee amputation for a patient with proximal femur focal deficiency and tibial hemimelia
T2 - Surgical anatomy and clinical implications
AU - Lloyd, Selvyn
AU - Rashid, Abdul Halim Abd
AU - Das, Srijit
AU - Ibrahim, Sharaf
PY - 2014/3
Y1 - 2014/3
N2 - Tibial hemimelia is a rare anomaly of unknown etiology. This condition can occur sporadically or may have a familial inheritance. It is characterized by deficiency of the tibia with a relatively intact fibula. The anomaly may be unilateral or bilateral. We report a case of a 2-year-old girl who presented with right lower limb deformity since birth. She was diagnosed with proximal femur focal deficiency with absence of the ipsilateral tibia. She presented with a shorter right lower limb and a deformed foot. She was treated with a through-knee amputation. Anatomical dissection of the amputated limb was carried out to verify the anomalies. The dissection showed that the distal phalanx of the great toe was trifid. The anatomical and clinical significance of this interesting case is discussed.
AB - Tibial hemimelia is a rare anomaly of unknown etiology. This condition can occur sporadically or may have a familial inheritance. It is characterized by deficiency of the tibia with a relatively intact fibula. The anomaly may be unilateral or bilateral. We report a case of a 2-year-old girl who presented with right lower limb deformity since birth. She was diagnosed with proximal femur focal deficiency with absence of the ipsilateral tibia. She presented with a shorter right lower limb and a deformed foot. She was treated with a through-knee amputation. Anatomical dissection of the amputated limb was carried out to verify the anomalies. The dissection showed that the distal phalanx of the great toe was trifid. The anatomical and clinical significance of this interesting case is discussed.
KW - Amputation
KW - Congenital deformity
KW - Tibial hemimelia
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U2 - 10.1007/s12565-013-0211-0
DO - 10.1007/s12565-013-0211-0
M3 - Article
C2 - 24158808
AN - SCOPUS:84896721214
SN - 1447-6959
VL - 89
SP - 122
EP - 125
JO - Anatomical Science International
JF - Anatomical Science International
IS - 2
ER -