Tibial Hemimelia Treatment
Tibial hemimelia is congenital absence of tibia. Its severity ranges from a minor deficiency in length to complete absence of tibia. Infant can present with sever deformity & shortening of leg, equinovarus deformity of foot & instability of knee & ankle joint. Drohr paley has classified this problem in five variety on the basis of tibial length deficiency in progressive manner & knee problem. In mild to moderate length discrepancy lengthening of tibia, tibialization of fibula, ankle fusion along with a lengthening of tibia is required. In sever deficiency, reconstruction or fibula femoral fusion of knee joint and stabilization of ankle joint on distal end of fibula can be done in some cases but in few cases amputation & artificial prosthesis is required. Child will need repeated lengthening and continuous monitoring. Usually, surgical reconstruction is being done between the age of 1.5 to 2 year. All these new surgical techniques is based on the concept of Drohr paley. Trishla foundation under the supervision of Dr. Jitendra Kumar Jain, a pediatric orthopedic surgeon has given new lease of life in many children affected by this problem.