Femoral bifurcation and bilateral tibial hemimelia: case report

Pan Afr Med J. 2018 Jun 5:30:99. doi: 10.11604/pamj.2018.30.99.11969. eCollection 2018.


Femoral bifurcation and tibial hemimelia are rare anomalies described as a variant of Gollop-Wolfgang complex. This article presents a case of Gollop-Wolfgang complex without hand ectrodactyly. A 5-year old patient presented with bilateral tibial hemimelia and left femoral bifurcation. The patient's left limb lacked knee extensor mechanism, disarticulation was done. The right leg which had Jones type 2 tibia hemimelia was treated with tibiofibular synostosis. Currently patient is ambulant with prosthesis on the left limb and ankle foot orthosis on the right. In the absence of proximal tibial anlage, especially in patients with femoral bifurcation, the knee should be disarticulated. Tibiofibular synostosis is a good choice in the presence of a proximal tibial anlage with good quadriceps function.

Keywords: Gollop-Wolfgang complex; Tibia hemimelia; bifid femur.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / diagnosis*
  • Abnormalities, Multiple / therapy
  • Child, Preschool
  • Ectromelia / diagnosis*
  • Ectromelia / therapy
  • Female
  • Femur / abnormalities*
  • Hand Deformities, Congenital / diagnosis*
  • Hand Deformities, Congenital / therapy
  • Humans
  • Knee Joint / abnormalities
  • Prostheses and Implants
  • Tibia / abnormalities*
  • Treatment Outcome

Supplementary concepts

  • Absence of Tibia
  • Femur bifid with monodactylous ectrodactyly