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Case Reports
. 2021 Jan 21;13(1):e12834.
doi: 10.7759/cureus.12834.

Usual Presentation Has Odds: Unilateral Tibial Hemimelia in One of Dizygotic Twins

Muath Mamdouh Mahmod Al-Chalabi  1 , Wan Azman Wan Sulaiman  2
Affiliations
Case Reports

Usual Presentation Has Odds: Unilateral Tibial Hemimelia in One of Dizygotic Twins

Muath Mamdouh Mahmod Al-Chalabi et al. Cureus. .

Abstract

Tibial hemimelia is a relatively rare congenital tibial longitudinal deficiency (approximately 1 per 1 million live births), unilateral or bilateral, with a relatively intact fibula. Hemimelia results from a disruption of the lower limb developmental field during embryogenesis due to slow or even abort of chondrification process, which results in leg length discrepancy. Affected leg commonly appears short and deformed with knee, ankle, and foot involvement. It may present with a variety of associated anomalies. Surgical treatment varies according to the type and degree of deformity, and reconstructive interventions are still limited. Reported cases of tibial hemimelia are very infrequent, especially tibial hemimelia in twins. Usually, the cases were in single embryo or less frequently in one of the monozygotic twins, but no reported cases regarding tibial hemimelia in one of the dizygotic twins as this article reports.

Keywords: congenital tibial deficiency; hemimelia; tibial hemimelia.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Left lower limb severe equinovarus deformity
Figure 2
Figure 2. X-ray showing an underdeveloped left distal tibia and left distal fibula hypertrophy
Figure 3
Figure 3. Left lower limb z-plasty reconstruction
See this image and copyright information in PMC

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