This study presents outcomes of rotation-plasty for unilateral proximal femoral focal deficiency in the adolescent population. The function, timing of knee fusion, and complications were presented as well as patients' assessment of their function and appearance. Eight patients, aged 8.37 years (range: 3-16 years) during surgery, were evaluated. The mean follow-up duration was 9.25 years (range: 6-12 years). At follow-up, all the patients were pain free and able to ambulate outdoors. Complications included derotation of the foot in five patients, necessitating a re-rotation osteotomy in two. All patients accepted their appearance, considering the rotation-plasty beneficial for their functional status.
Primary bone sarcomas are not frequent entities, but constitute important issue especially in pediatric population. Advances in chemotherapy and diagnostic modalities allowed limb saving resections of malignant bone tumors became leading surgical option. To be successful the treatment of primary bone tumors should be conducted in dedicated centers by experienced team of specialists. Nevertheless, the rules of such treatment should be known widely to improve diagnosis, medical care over oncologic patient and communication between specialists. In this review paper the authors present current rules of surgical approach to bony malignancies in children and adolescents.
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