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Tibial Hemimelia: Staged Treatment with External Fixation and Then Internal Lengthening Nail

  • Mark Eidelman,
  • Pavel Kotlarsky

摘要

Tibial Hemimelia is a relatively rare congenital preaxial longitudinal deficiency. The current case deals with Jones type 4 deformity (also called ankle diastasis). Treatment options range from amputation to tibiotalar arthrodesis with subsequent lengthening procedures. We present a patient with tibial hemimelia Jones type 4 treated by ankle-sparing reconstruction with serial tibial and fibular lengthening procedures.