Tibial hemimelia: new classification and reconstructive options

J Child Orthop. 2016 Dec;10(6):529-555. doi: 10.1007/s11832-016-0785-x. Epub 2016 Dec 1.


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.

Keywords: Brown centralization of fibula; Clubfoot; Paley classification; Tibial aplasia; Tibial hemimelia; Weber patelloplasty.

Publication types

  • Review