REGULAR SUBMISSIONSFoot centralization for tibial hemimeliaWada, Akifusaa; Nakamura, Tomoyukib; Urano, Norikoc; Kubota, Hideakia; Oketani, Yutakaa; Taketa, Mayukia; Fujii, ToshioaAuthor Information aSaga Handicapped Children’s Hospital, Saga bFukuoka Children’s Hospital cUrano Orthopaedic Clinic, Fukuoka, Japan Correspondence to Akifusa Wada, MD, PhD, Department of Orthopaedic Surgery, Saga Handicapped Children’s Hospital, 2215-27 Kinryu, Kinryu-machi, Saga 849-0906, Japan Tel: +81 952 98 2211; fax: +81 952 98 3391; e-mail: [email protected] Journal of Pediatric Orthopaedics B: March 2015 - Volume 24 - Issue 2 - p 147-153 doi: 10.1097/BPB.0000000000000149 Buy Metrics Abstract Nineteen foot centralizations were performed in 14 patients with Jones type I and II tibial hemimelia. All feet showed equinovarus deformity and were treated by foot centralization by means of calcaneofibular arthrodesis. The average age of patients at the time of surgery was 1.3 years (range 0.4–3.8 years). The average follow-up postoperative period was 10.2 years (range 2.2–22.9). At the time of the final follow-up, four of the operated feet were plantigrade without secondary surgery. The remaining 15 limbs, however, required secondary surgery to treat postoperative early loss of correction and/or recurrent foot deformities such as equinus, varus and adduction, in addition to talipes calcaneal deformities, and fibular angular deformity at the fibular shortening osteotomy site. The deformities were treated either by repeat foot centralization, or fibular or calcaneal osteotomy. Careful observation for recurrence of the deformity is necessary until the distal fibular epiphysis closes, and the cartilagenous distal fibular end and calcaneus finally achieve ankyloses. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.