{"id":9831,"date":"2024-05-03T06:30:57","date_gmt":"2024-05-03T06:30:57","guid":{"rendered":"https:\/\/paleyinstitute.org\/?page_id=9831"},"modified":"2025-06-16T16:33:31","modified_gmt":"2025-06-16T16:33:31","slug":"tibial-hemimelia-treatment-strategies","status":"publish","type":"page","link":"https:\/\/paleyinstitute.org\/tibial-hemimelia-treatment-strategies\/","title":{"rendered":"Tibial Hemimelia Treatment Strategies"},"content":{"rendered":"\t\t
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Treatment Strategies<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Treatment strategies for tibial hemimelia date as far back as 1877. The treatment of choice for TH has historically been biased towards amputation, though that does depend on the severity of the deformity. With complete absence of the tibia, amputation is recommended almost exclusively, while less severe deformities have several reports of limb salvage options. The presence of a tibia anlage, quadriceps muscles, and kneecap (patella) are important considerations for reconstruction. Imaging options such as magnetic resonance imaging (MRI) and ultrasound are used to determine the presence of the patella or tibia anlage.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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The most popular surgical treatment of tibial hemimelia was developed by Brown in 1965. He also recommended a Syme-type amputation of the foot. Unfortunately, studies do not seem to indicate good outcomes with the Brown procedure and most orthopedic surgeons recommend amputation rather than reconstruction as the best option for total absence of the tibia. Many of the poor outcomes were due to knee flexion contractures, knee instability, and poor range-of-motion (ROM). However, for some patients in which amputation is not an option, a limb that is weight-bearing though less functional may be considered a success. In less severe forms of TH, the treatment is not as clear as to the best course of action. The presence of a strong quadriceps, patella, and proximal tibia or anlage seems to favor reconstruction. Advances in the treatment of all types of TH offer new options with excellent functional results as an alternative to amputation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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Tibial Hemimelia<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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