Bilateral Calcaneus Transfers for the Treatment of Congenital Tibial Deficiencies: A Novel Surgical Technique and Case Report.

J Am Acad Orthop Surg Glob Res Rev

From the Orthopaedic Surgery, Riverside University Health System Medical Center, Moreno Valley, CA (Dr. Fang, Dr. Thomas, and Dr. Fan); the Orthopaedic Surgery, Children's Hospital of Orange County, Orange, CA (Dr. Fang, Dr. Thomas, Dr. Fan, Dr. Leis, and Dr. Rosenfeld); and the Plastics Surgery, University of California, Irvine, CA (Dr. Leis).

Published: December 2022

Tibial deficiency (also known as tibial hemimelia) is a rare condition with variable presentation. A 2-month-old patient presented with absent bilateral tibias. When the patient was 1 year, a novel reconstructive surgery was done. A bilateral fibular resection with pedicled calcaneus transfer was done, allowing for transfer of the calcaneus along with the overlying glabrous skin and soft tissues to the end of the femur. The patient was permitted to weight-bear after the 4-week postoperative follow-up. At the six-month follow-up, the patient was able to pull to stand and walk with assistance without any reports of pain.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9726303PMC
http://dx.doi.org/10.5435/JAAOSGlobal-D-22-00070DOI Listing

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