Deformity correction in a case of right tibial hemimelia in an adult

In this case report, deformity correction in a case of right tibial hemimelia with shortening is presented. The complex deformity warranted the use of Ilizarov frame, providing a versatile fixation system for the management of bony deformities and their complications. A 17-year-old female patient presented with a congenital deformity of right leg and foot. She had complaints of chronic non-healing trophic ulcers on the lateral aspect of the right foot, a malformed distal tibia, and foot in equino-varus, along with 12 cm of shortening on the right side. Deformity correction of foot was sequentially achieved with distal tibia anterolateral closed wedge osteotomy fixed with plate which was later converted to Ilizarov fixator while limb lengthening was done with a slotted plate. Deformity was corrected making the foot plantigrade. 6 cm of lengthening was achieved. Complications like skin necrosis and severe pain were encountered during the course of treatment. They were dealt with successfully. Deformity Correction in tibial hemimelia using Ilizarov External Fixator aids in early mobility. However, care should be taken to address many complications that present due to abnormal anatomy.