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Limb lengthening of fibular hemimelia is associated with progressive ankle valgus deformity. We reported a successful tibial lengthening in fibular hemimelia without recurrence of ankle valgus in 2 cases. The procedure involved 2 stages. First stage was a resection of the fibular remnant followed by a bending osteotomy through the distal tibial physis before the age of 2 years old. The second stage was a tibia lengthening up to 25% of its original segmental length performed at the age of 5 years old. There was neither progressive ankle valgus nor distal tibial growth arrest observed at 4 years follow-up.
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http://dx.doi.org/10.1016/j.foot.2018.01.001 | DOI Listing |
J Orthop Case Rep
August 2025
Joint Replacement, Sports Injury and Trauma, Department of Orthopaedics, Marengo Asia Hospitals, Gurugram, Haryana, India.
Introduction: Congenital absence of the anterior cruciate ligament (ACL), first reported by Giorgi in 1956 is an extremely rare condition. The prevalence of this condition is reported to be around 0.017/1,000 live births.
View Article and Find Full Text PDFGenes Dis
November 2025
Research Center for Computer-aided Drug Discovery, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, Guangdong 518055, China.
Clubfoot, medically termed congenital talipes equinovarus (CTEV), is a prevalent musculoskeletal birth defect, affecting approximately 0.3% of all live births. This serious congenital anomaly results from structural abnormalities in the foot and lower leg, leading to abnormal positioning of the ankle and foot joints.
View Article and Find Full Text PDFJ Am Acad Orthop Surg Glob Res Rev
July 2025
From the Central Hospital, Istanbul, Turkey.
Tibial hemimelia is a rare congenital deficiency that is challenging to treat. Appropriate care varies due to the many subtypes and associated knee and ankle deformities. Amputation is still the most accepted treatment, but it is not generally preferred by families.
View Article and Find Full Text PDFJ Patient Rep Outcomes
July 2025
Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
Background: LIMB-Q Kids is a new patient-reported outcome measure (PROM) for children and adolescents with Lower limb differences (LLDs). This international field test study aimed to evaluate the psychometric properties of LIMB-Q Kids.
Methodology: Patients from pediatric orthopaedic clinics with a diagnosis of LLDs were recruited.
JBJS Case Connect
July 2025
Rush University Medical Center, Chicago, Illinois.
Case: A 38-year-old male patient with congenital absence of the anterior cruciate ligament (ACL) and fibular hemimelia status post-transtibial amputation presented with knee instability and pain after sustaining a noncontact injury. After diagnosis of a lateral meniscal root tear and confirmed absence of an ACL, the patient underwent ACL construction with bone-patellar tendon-bone allograft and lateral meniscal root repair. The patient returned to his preinjury functional state without recurrent ACL injury or other complication at 2 years postoperatively.
View Article and Find Full Text PDF