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Type 4A tibial hemimelia is a rare congenital condition where the knee joint is functional, but the tibia (shin bone) is either missing or structurally abnormal. In these cases, the fibula (the other lower leg bone) is typically longer than usual and sits in an abnormal position. <br>
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TYPE 4A TIBIAL HEMIMELIA: A DETAILED GUIDE www.trishlaortho.com
“ OVERVIEW Type 4A tibial hemimelia is a rare congenital condition where the knee joint is functional, but the tibia (shin bone) is either missing or structurally abnormal. In these cases, the fibula (the other lower leg bone) is typically longer than usual and sits in an abnormal position.
This condition develops before birth and is considered congenital. Its exact cause is unknown, though it may involve a combination of genetic and environmental factors during pregnancy. There is rarely a family history, as most cases are not inherited. CAUSES
Shortened Leg: The affected leg is noticeably shorter. • Foot Deformity: The foot often points downward and inward, leading to a severe equino-varus position. • Functional Knee Joint: Unlike more severe forms, the knee joint remains present and operational. • Abnormal Fibula Position: The fibula is elongated and displaced. • Possible Knee Instability: Some children may experience ligament weakness around the knee, causing instability. COMMON SYMPTOMS
TREATMENT FOR TYPE 4A TIBIAL HEMIMELIA Treatment is surgical and often requires several stages. The main goal is to reconstruct a functional leg using the fibula after removing the abnormal tibia, enabling the child to walk.
Though Type 4 tibial hemimelia presents complex challenges, advances in surgical techniques offer hope for improved mobility and quality of life. By reconstructing the leg using the fibula, doctors can help children regain their ability to walk and lead more active lives. With proper medical care and follow-up, children affected by this condition can look forward to greater independence and better outcomes. CONCLUSION
CONTACT INFORMATION PHONE 7379087121 (WhatsApp), 9415014994 WEBSITE www.trishlaortho.com ADDRESS Trishla Orthopedic Clinic & Rehab center, 182C / 350A, Tagore Town, Prayagraj (Allahabad) U.P-211002, India
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