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Paediatrics
intermediate
X-Type

Tibial Hemimelia

Congenital Limb Deficiencies

A newborn is noted to have a markedly shortened left leg with the knee held in flexion and the foot in severe equinovarus. Radiographs show complete absence of the tibia with a present fibula. The foot has only three toes. Examination reveals an absent patella and a very unstable knee. The parents ask about treatment options. Regarding tibial hemimelia:

Mark each as TRUE or FALSE

A

Tibial hemimelia is a longitudinal deficiency characterized by partial or complete absence of the ti...

B

The Jones classification describes four types based on the amount of tibia present: Type 1a (tibia n...

C

Tibial hemimelia is the most common longitudinal limb deficiency; the fibula is always absent; the k...

D

Treatment depends on the type and presence of a functional knee; for Types 1b and 2 with absent or n...

E

Fibular centralization involves transferring the fibula under the distal femur to create a weight-be...

Answer the questions to see explanations

Click T (True) or F (False) for each option