Rehabilitation of type I congenital tibial hemimelia with ortho–prosthesis–A report of three cases

Dr Pabitra kumar Sahoo; Mamata Manjari Sahu

Volume : VII, Issue : VII, July - 2017

Rehabilitation of type I congenital tibial hemimelia with ortho–prosthesis–A report of three cases

Dr Pabitra Kumar Sahoo, Mamata Manjari Sahu

Abstract :

Congenital absence of the tibia is a rare anomaly with an incidence of one per 1,000,000 live births. It is mostly sporadic and can be identified as an isolated disorder or as part of malformation syndromes. The treatment depends on the type of tibial hemimelia. Multiple reconstructive surgeries and the availability of suitable prosthesis have an important role in treatment options. Here, we are reporting three adolescent girls out of which two cases of bilateral congenital Type I, one case of unilateral Type I associated with radial club hand opposite side .Both the bilateral cases were walking over deformed leg with flexed knee, and the unilateral case was using a pair of axillary crutch for her ambulation. There were remote chance for reconstruction in any of these cases. None of them were ready for amputation. Modified above knee prosthesis with specially custome designed socket was prepared accommodating the residual deformed limb. All of them were satisfied with their prosthesis.