Tibial Hemimelia Type II in a 6 Year Old Child Treated with Fibular Transfer and Centralization and Syme’s Amputation

Partial tibial deficiency can be successfully treated with reconstruction of the affected leg and Syme’s amputation. In this case, we describe a hybrid technique with knee reconstruction and Syme’s amputation in a 6 year old male with isolated type II tibial hemimelia (Jones Classification). The knee reconstruction was performed through a fibular transfer and centralization with Ilizarov fixation, associated with a Syme’s amputation. At a follow-up of 3 years, the patient was fully functional with a Syme’s prosthesis.