A case with congenital bilateral total defect of the tibia, was reported.
Case: A 2-year-3-month-old boy with bilateral clubfoot at birth, associated with the flexion contracture of the bilateral knee joint and the luxation of the ankle joints, and with bilateral toe deficiencies (right: first and second toe deficiency, left: first toe deficiency and second toe hypoplasia), and bilateral patella deficiencies. These findings with bilateral total tibia defects were demonstrated roentgenologically.
Firstly, the bilateral knee arthroplasty according to Brown's method was performed, then followed by bilateral ankle joint arthrodesis.
By post-operative X-ray film, it was demonstrated that alignment of lower extremity was improved, and the tibialisation of fibula was appearing. Nowadays, after 6th months from the last operation, he can walk using walker with long-leg brace.