Tibial Hemimelia

Tibial hemimelia is a rare congenital disorder characterized by partial or complete absence of the tibia (shin) bone, leading to severe functional limitations. Deformity of the foot, limitation of knee movements and limb length discrepancy are the most common clinical symptoms.

The diagnosis is usually made at the first postnatal examination. This disorder is often associated with other lower extremity anomalies such as Fibular hemimelia.

Treatment is individualized according to the child’s walking potential, severity of the deformity and family expectations.

• Prosthesis applications
• Knee stabilization (arthrodesis) surgeries
• Below-knee lengthening procedures
• Corrective surgeries such as ankle fusion may be preferred.

The aim of the treatment process is to enable the child to walk independently, participate in activities of daily living and improve quality of life.