Published in:
Open Access
01-12-2016 | Current Concept Review
Tibial hemimelia: new classification and reconstructive options
Author:
Dror Paley
Published in:
Journal of Children's Orthopaedics
|
Issue 6/2016
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Abstract
Tibial hemimelia is a rare congenital lower limb deficiency presenting with a wide spectrum of associated congenital anomalies, deficiencies and duplications. Reconstructive options have been limited, and the gold standard for treatment has remained amputation with prosthetic fitting. There is now a better understanding of the genetics, etiology and pathoanatomy of tibial hemimelia. Armed with this knowledge, I present here a new classification to guide treatment and prognosis and then discuss new treatment strategies and techniques for limb reconstruction based on this new classification scheme.