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Living with Tibial hemimelia

A rare condition present at birth in which the shinbone is missing or underdeveloped in one or both legs.

Understanding Tibial hemimelia

Tibial hemimelia is a rare birth difference in which the shinbone (tibia) is missing or underdeveloped, while the other lower leg bones are mostly in place.

It can affect one or both legs. Some cases occur alone, and others are part of a syndrome or come with other bone differences. Most isolated cases occur with no family history, but it can rarely affect more than one family member.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Missing shinbone (tibia)
  • Club feet
  • Knee that cannot fully straighten (flexion contracture)
  • Short lower legs
  • Split hand

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include bone and joint specialists and genetic specialists.

  3. Consider genetic testing

    Changes in GLI3 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Is this isolated, or part of a syndrome?
Which specialists, such as an orthopedic surgeon, should we see?
Can genetic testing, including the GLI3 gene, help our family?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant, Autosomal Recessive
GenesGLI3

GARD says the cause is generally unknown. The GLI3 gene is listed, and both autosomal dominant and autosomal recessive inheritance are noted.

Genetic

Also known as: absence of tibia; agenesis of tibia; congenital absence of tibia; congenital aplasia and dysplasia of the tibia with intact fibula; congenital longitudinal deficiency of the tibia; tibial longitudinal meromelia

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Tibial hemimeliaGARD ID 8707 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Tibial hemimelia.

Explore the Tibial hemimelia blog

Explore research for Tibial hemimelia

Explore actively recruiting Tibial hemimelia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Tibial hemimelia with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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