A twelve-years-old girl was seen initially with hypoplasia of the right lower leg and deformity of the right foot. She was noted at birth to have hypoplasia of the right leg with polysyndachtyly of the foot. The foot had eight toes and at the age of seventy days polysyndachtyly had been treated by amputation of the accesory structures.
Growth was normal but she had been limping after her initial gait. The range of motion in the right hip was full but the right knee and the right foot were limited.
Roentogenograms revealed absence of the patella of the knee, hypoplasia of the tibia, new-formation of the tibia-like bone tissue and duplicated tarsal bones. A skeletal survay revealed no other osseous abnormality.
The child was fitted with a compensatory lift of the right foot with an inside splint.