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Congenital diplopodia-A rare case of duplicated lower limb: A case report
Muhammad Ihsan Kitta1, Harry Supratama Azis2, Novra Yuditya Santoso2
1Pediatric Consultant of Orthopaedic and Traumatology Department, Hasanuddin University, Makassar, Indonesia; Lecturer of Medical Faculty of Muhammadiyah University, Makassar, Indonesia.
Insights
This case report details diplopodia, an extremely rare foot duplication. Early surgical intervention aims to create a functional, plantigrade foot for improved mobility and aesthetics.
Area of Science:
- Medical case report
- Rare congenital anomaly
- Orthopedic surgery
Background:
- Diplopodia is an exceptionally rare congenital condition characterized by partial foot duplication.
- Literature on diplopodia is scarce, necessitating further case documentation.
- Understanding its differentiation from polydactyly is crucial for accurate diagnosis.
Purpose of the Study:
- To contribute to the limited literature on diplopodia.
- To document a specific case of pediatric diplopodia.
- To highlight the importance of timely surgical intervention.
Main Methods:
- Presentation of a clinical case involving a one-year-old boy with a duplicated foot.
- Detailed physical examination of the affected lower limb.
- Surgical intervention performed at an early walking age.
Main Results:
- The patient presented with a duplicated foot on the right lower leg.
- Operative treatment was successfully performed to establish a plantigrade, functional foot.
- The surgical approach considered both functional and aesthetic outcomes.
Conclusions:
- Early surgical intervention is key for achieving a functional plantigrade foot in cases of diplopodia.
- Tailored, case-by-case treatment strategies are essential.
- Reconstructive surgery can improve the aesthetic acceptability of the affected limb.
Introduction And Importance:
Diplopodia is an extremely rare case in medical history, with an even fewer cases being reported in literature. We intended to enrich the literature about diplopodia with our own case report.
Case Presentation:
We present a case about A boy, aged one year and four months old brought by his mother to the hospital with a chief complaint of a duplicated foot in his right lower leg. Physical examination demonstrated a normal left lower extremity and a relatively well-developed duplicate foot emanating from the posterior-lateral aspect of the mid-lower right leg.
Clinical Discussion:
Diplopodia consists of partial duplication of the foot, with or without hypoplasia or positional abnormality of the ipsilateral tibia and fibula. It must be differentiated from polydactyly where the additional structures consist of toes that may or may not have corresponding metatarsals but are devoid of tarsal bone. Treatment should be considered case-by-case basis and tailored appropriately to suit individual needs and circumstances.
Conclusion:
In our case, operative treatment was done at an early walking age to provide plantigrade, functional foot. Timely surgical intervention will enable patient to adapt over time. The secondary aim is to reconstruct the foot to be more acceptable aesthetically.
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