{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T16:00:29Z","timestamp":1775318429469,"version":"3.50.1"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: Tibial hemimelia is a rare disorder characterized by the absence or hypoplasia of the tibia with associated rigidity. The aim of this study was to retrospectively evaluate the affectivity of reconstructive surgeries including centralization of the knee-ankle joints and lengthening with Ilizarov principles, as well as physical and functional results of amputation and reconstruction.\nMethods: This is an IRB-approved retrospective review of all patients diagnosed with tibial hemimelia who required surgery at a single institution between 1998 and 2011. Charts were analyzed for clinical and radiographical findings. At final follow-up, patients underwent physical and radiographic examination. Patients and their parents were asked to complete the SF-10\u2122 health survey (QualityMetric Inc., Lincoln, RI, USA).\nResults: Twenty-one patients (12 male, 9 female) with 30 affected extremities were included. Mean age was 4.8\u00b13.1 years at initial surgery. Knee level disarticulation was performed in 6 extremities of 4 patients. One patient with type III underwent transtibial amputation. Mean number of surgeries for each patient was 6.4\u00b13.3, and mean duration of external fixator and casting was 17\u00b16 months. Mean lengthening was 4.9\u00b11.3 cm, and mean limb length discrepancy was 3.1\u00b11.7 cm at 5.8\u00b13.7 years at follow-up. SF-10\u2122 scores were similar in disarticulated and reconstructed patients (p=0.63). All scores were significantly higher when disarticulation was performed in cases of knee instability (p&lt;0.01).\nConclusion: When stability of the knee joint is present, treatment modality should be chosen according to the existence of the proximal tibia. Amputation should be preferred in cases of knee joint instability.\n \n\nDOI: 10.3944\/AOTT.2015.15.0005\n\n \n\n\u00d6zet\n\nAma\u00e7: Tibiyal hemimeli, tibia eksikli\u011finden veya geli\u015fmemesinden kaynaklanan sert ve nadir bir hastal\u0131kt\u0131r. Bu \u00e7al\u0131\u015fman\u0131n amac\u0131, diz-bilek eklemlerinin merkezile\u015ftirilmesi ve Ilizarov ilkeleri ile uzatma i\u015flemi de dahil olmak \u00fczere rekonstr\u00fcksif ameliyatlar\u0131n etkinli\u011fini geriye d\u00f6n\u00fck olarak de\u011ferlendirmekti. Amp\u00fctasyon ve rekonstr\u00fcksiyonun fiziksel ve i\u015flevsel sonu\u00e7lar\u0131 da de\u011ferlendirildi.\u00c7al\u0131\u015fma plan\u0131: Bu, tibiyal hemimeli tan\u0131s\u0131 koyulan ve 1998-2011 y\u0131llar\u0131 aras\u0131nda tek bir kurulu\u015fta ameliyata gerek duyulan b\u00fct\u00fcn hastalar \u00fczerinde ger\u00e7ekle\u015ftirilen IRB onayl\u0131 geriye d\u00f6n\u00fck incelemedir. Klinik ve radyografik bulgular i\u00e7in grafikler analiz edilmi\u015ftir. Dahil edilen b\u00fct\u00fcn hastalar, ek bir fiziksel ve radyografik inceleme amac\u0131yla son takip ziyareti i\u00e7in \u00e7a\u011f\u0131r\u0131lm\u0131\u015ft\u0131r. Ebeveynler ve hastalardan SF-10\u2122 sa\u011fl\u0131k ara\u015ft\u0131rma formunu doldurmalar\u0131 istenmi\u015ftir.Bulgular: Hastal\u0131ktan etkilenen toplam 30 uzuv olmak \u00fczere 21 hasta (12 erkek, 9 kad\u0131n) \u00e7al\u0131\u015fmaya dahil edilmi\u015ftir. \u0130lk ameliyatta ortalama ya\u015f 4.8\u2019di (\u00b13.1). 4 hastan\u0131n 6 uzvunda diz seviyesinde disartik\u00fclasyon yap\u0131ld\u0131. Tip III hastal\u0131\u011f\u0131 olan bir hastaya transtibiyal amp\u00fctasyon yap\u0131ld\u0131. Her hasta i\u00e7in ortalama ameliyat say\u0131s\u0131 6.4\u2019t\u00fc (\u00b13.3) ve d\u0131\u015f sabitleyici ve al\u00e7\u0131n\u0131n ortalama durma s\u00fcresi 17 (\u00b16) ayd\u0131. Ortalama uzatma 4.9 (\u00b11.3) cm\u2019di ve ortalama uzuv uzunlu\u011fu fark\u0131 5.8 (\u00b13.7) y\u0131ll\u0131k takipte 3.1 (\u00b11.7) cm\u2019di. Eklem yerinden ay\u0131rma ve rekonstr\u00fcksiyon yap\u0131lan hastalarda SF-10\u2122 puanlar\u0131 benzerdi (p=0.63). Ancak, eklem yerinden ay\u0131rma i\u015flemi diz dengesizli\u011fi bulunan durumlarda uyguland\u0131\u011f\u0131nda, b\u00fct\u00fcn puanlar anlaml\u0131 derecede daha y\u00fcksekti (p&lt;0.01).\u00c7\u0131kar\u0131mlar: Tedavi y\u00f6ntemi, diz eklemi dengeliyken, proksimal tibian\u0131n bulunup bulunmamas\u0131na g\u00f6re se\u00e7ilmelidir. Diz eklemi dengesizli\u011fi varsa amp\u00fctasyon tercih edilmelidir<\/jats:p>","DOI":"10.3944\/aott.2015.15.0005","type":"journal-article","created":{"date-parts":[[2015,8,10]],"date-time":"2015-08-10T04:56:59Z","timestamp":1439182619000},"page":"627-633","source":"Crossref","is-referenced-by-count":5,"title":["Preliminary report on amputation versus reconstruction in treatment of tibial hemimelia"],"prefix":"10.5152","volume":"49","author":[{"given":"Halil","family":"Ibrahim Balci","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yavuz","family":"Saglam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fuat","family":"Bilgili","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cengiz","family":"Sen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Kocaoglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Levent","family":"Eralp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3060\/3012","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:07:56Z","timestamp":1763464076000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3060"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2015,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2015.15.0005","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}