Prosthetic Rehabilitation of Bilateral Tibial Hemimelia: A Case Report

Abstract

Tibial hemimelia is a rare condition in which the child is born with a tibia having a wide range of clinical presentations ranging from hypoplastic tibia to complete deficiency of tibia. Bilateral tibial hemimelia is very rare and the deformities associated with it limit the mobility of individual. Prosthetic management can help achieve various goals of the individual but lack of awareness keeps the individualrsquos mobility limited. The purpose of the case study was to design a suitable prosthetic device which can help the subject to improve mobility and quality of life. After successful evaluation and fitment of extension prosthesis and knee pads assistive device the subject was trained in different phases to walk. The gait parameters were compared prior to and after the fitment of devices at three weeks and one year of final fitment. The quality of life was assessed at baseline and after one year of rehabilitation. Significant changes with knee pads assistive device and extension prosthesis were reported in the subjectrsquos gait parameters and quality of life.