Congenital longitudinal deficiency of the tibia

D. A. Spiegel, R. T. Loder, R. C. Crandall

Research output: Contribution to journalReview articlepeer-review

16 Scopus citations


We performed a clinical and radiographic review of 15 patients (19 limbs) with longitudinal deficiency of the tibia treated between 1981 and 2001. Ten limbs with Kalamchi type I deficiencies were managed by through-knee amputation. Five type II deficiencies were treated by foot ablation and tibiofibular synostosis, either at the same time or staged, but prosthetic problems may arise from varus alignment and prominence of the proximal fibula. Patients with type III deficiencies (four cases) were treated by foot ablation. Prosthetic problems relating to proximal or distal tibiofibular instability may necessitate additional surgical intervention.

Original languageEnglish (US)
Pages (from-to)338-342
Number of pages5
JournalInternational Orthopaedics
Issue number6
StatePublished - 2003

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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