Received Sep 4; Accepted Sep This article has been cited by other articles in PMC. Abstract Background Malignant bone tumors of the lower extremity are more frequently found in children and adolescents than in adults.
FAQ What factors should we consider before making a decision concerning rotationplasty? The age of the child, the size and location of the cancer, medical prognosis, functional outcomes desired, and the wishes of the patient and family.
Has there ever been research comparing rotationplasty to limb-spare? Hillmann et al compared limb sparing with an endoprosthetic replacement and rotationplasty in treatment of malignant tumors of the lower extremity and reported quality of life self-assessed by the patients. The patients were between the ages of eleven and twenty-four at time of diagnosis, with thirty-three patients receiving rotationplasty and thirty-four patients receiving endoprosthetic replacement.
Results revealed that quality of life was enhanced in those patients who had rotationplasty, including an increased ability to participate in hobbies such as sports, as well as fewer restrictions in activities of daily living due to pain.
Akahane et al evaluated functional outcomes and quality of life in 22 patients one year after the three different surgical procedures, limb-sparing, rotationplasty or amputation.
When compared with amputation and prosthetic reconstruction, rotationplasty was shown to produce significantly higher functional scores on the Musculoskeletal Tumor Society assessment, MSST and health related quality of life assessment.
In another study looking at patients undergoing rotationplasty, Hillmann et al analyzed muscle activity and gait to determine how these were associated with functional outcomes. Forty-three patients who underwent rotationplasty were studied with the mean follow up six years.
Electromyography studies revealed function of muscles in the involved limb to be similar amplitudes as the uninvolved limb. The patients showed good functional outcomes as demonstrated by a high functional score, as well as restoration of gait with minimal deviations in the majority of subjects.
Two months later with a "trainer" leg in December Another leg in April and a better more efficient leg in August Leg a year later JulyApriland January He has been fine from very early on. He actually told us that this was the operation he wanted.
We were leaning that way as well and it was important for him to have a say. Steven Miller, who has rotationplasty himself, is out of Savannah and works with Hanger.
Wheelchair for about two weeks and then clutches. Crutches after October operation until April.
He walked without crutches in between on occasion. With his friends he is very comfortable. Sean - Yes, I was at school for so long without a leg so it is no big deal.
Not in public, no. No, I thought either rotationplasty or limb salvage. I never really researched it though - just was scared of it for him.
After doing some research now, I believe that rotationplasty or amputation is a way to up the percentage in living cancer-free. Was he recommended to you? Scarborough had done the most rotationplasties in the US, sans a doctor at the Mayo Clinic.
He operated on a little boy here in Atlanta and a few others we had heard about. Scarborough for any post-surgery followup? We went back down to Fl twice, six weeks out and then about 7 months out. We have a great orthopedic guy here who took out his stitches and consulted with Scarborough when Sean had fallen - x-rays were taken but all was OK.
The surgeon here also worked with our PT to discuss Sean's abilities and care. Google "cancer was the easy part. They were wonderful and answered all of our questions.criteria in patients after rotationplasty scored of 30 points. In the group of amputees, the score was 19 (range outcome of revision surgery after limb salvage in muscu-loskeletal oncology is worse [19, 21] than that after the Rotationplasty – surgical treatment modality after failed limb salvage procedure Arch Orthop Trauma Surg.
Functional outcomes were also very good and most patients could participate in active sports, which is rare in patients with endoprostheses. 53 x 53 Hillmann, A, Hoffmann, C, Gosheger, G et al. Malignant tumour of the distal part of the femur or the proximal part of the tibia: Endoprosthetic replacement or rotationplasty?.
Functional outcome of patients with rotationplasty about the knee. Rotationplasty (Borggreve/Van Nes and modifications) as an alternative to amputation in failed reconstructions after resection of tumours around the knee joint.
Ideally, rotationplasty gives patients a level of function that may be equivalent to a below-knee prosthesis user, even though they have experienced an above-knee amputation.
The goal of tibia turn-up is to provide the person who faces a high-level, above-knee amputation with a longer, stronger residual limb for the prosthetic socket to lock onto. Jun 01, · Compared with endoprostheses, allografts, and amputations, rotationplasty patients have been reported to achieve superior functional outcomes in several studies.
4–6 Despite this, rotationplasty is rarely performed owing to concerns with the psychological effect of the abnormal cosmetic appearance of the limb.
7. T1 - Functional Outcome of Patients With Rotationplasty About the Knee. AU - Fuchs, Bruno. AU - Kotajarvi, Brian R. AU - Kaufman, Kenton R. AU - Sim, Franklin H.
PY - / Y1 - / N2 - Rotationplasty is a surgical procedure designed to achieve a durable reconstruction after the resection of tumors about the knee.