Congenital Tibia deficiency - DRHC Dubai Pediatric Orthopedic Clinic

A longitudinal deficiency of the tibia with varying degrees of tibial absence. It is a rare condition characterized by partial to complete absence of the tibia with variable degrees of knee deformity and function

There is an inheritance pattern for this condition (autosomal dominant). There may be a deficiency in other bones or other tissues sometimes accompanied by a deficiency of the femur fibula or foot bone also. Muscles vessels and nerves may be deficient. This condition is a part of Longitudinal limb deficiency.

Findings are shortening of the affected extremity, anterolateral bowing of the tibia, prominent fibular head, knee flexion contracture(can't fully extend the knee), and rigid equinovarus of the foot.

Stability of the knee joint and active knee extension are essential to start lengthening treatment. The main goal of treatment is to create a stable and functional limb.

Tiabial deficiency surgical treatment should be in four phrases:

• The first surgery is at an early age (6-12 months) to correct the deformity before the child starts walking.
• The second surgery will be at age 5 years for leg lengthening before the child gets in school.
• The third surgery will be at age 8-10 years old and it aims to lengthen the short leg and to slow the longitudinal growth at the long leg.
• The fourth surgery will be at the puberty age (14-16)years old and it aims to equal any remnant or difference in leg length.

Every stage has its details and precautions

If you are in search of the best pediatric orthopedic surgeon or children's orthopedic specialist in Dubai, then DRHC Orthopedic Clinic in Dubai offers you the top pediatric orthopedic surgeons with vast years of experience. To book an appointment call +97142798200. DRHC Dubai also offers a foot clinic with highly experienced foot specialists.