Electromyographic and Gait Analysis of Forty-three Patients After Rotationplasty*

Hillmann, Axel; Rosenbaum, Dieter; Schröter, J.; Gosheger, Georg; Hoffmann, Christiane; Winkelmann, Winfried

doi:10.2106/00004623-200002000-00004

Cited by 48 publications

(50 citation statements)

References 14 publications

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“…In particular, assessment on standing scanograms of early postoperative residual limb length and the pattern of growth of the surgically treated limb with time would be worth investigating and of interest for clinicians. In our study the MSTS score generally was not different from the reported values for patients at similar followup, ranging from a mean of 20 to 28 [8,11,[14][15][16]18] (Table 5). In particular, the MSTS score was not different from the only study reporting the score at a short followup [11].…”

Section: Discussionsupporting

confidence: 47%

“…Compared with transfemoral amputation, rotationplasty offers better clinical results by preserving the ankle as a new knee with flexionextension capability [19,20,23]. Several studies have documented good functional outcomes after rotationplasty, in patients with with followup as long as a mean of 8 years after surgery, and who were evaluated clinically by means of the Musculoskeletal Tumor Society (MSTS) score and other measures [1, 10-18, 22, 24], and instrumentally by means of gait analysis [5,8,15,22,26]. After rotationplasty, patients were observed to have fewer restrictions for daily activities and sport exercises, even at a competitive level [17,24], and for hobbies compared with patients with endoprostheses [14].…”

Section: Introductionmentioning

confidence: 99%

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How Much Clinical and Functional Impairment do Children Treated With Knee Rotationplasty Experience in Adulthood?

Benedetti

Okita

Recubini

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Rotationplasty may be indicated for some children with osteosarcoma in the distal femur or proximal tibia; in properly selected patients, it may offer functional advantages over transfemoral amputation and more durable results than a prosthesis. The clinical and functional outcomes reported for this procedure generally have been limited to studies with a mean followup of approximately 8 years in terms of Musculoskeletal Tumor Society Score (MSTS), physical examination, and gait analysis. However, the effects of residual thigh-shank length on gait have not been explored to our knowledge. Questions/purposes We asked: (1) Do differences in the length of the surgically treated residual thigh-shank relative to the contralateral thigh result in altered gait patterns? (2) What were the clinical and functional impairments and radiographic findings of patients who underwent rotationplasty and who survived to adulthood? (3) Do gait analysis findings in adults differ from previously reported findings in children in terms of relevant gait parameters such as maximal ground reaction forces and sagittal knee angles? Methods From January 1986 to December 2009, 254 children (age range, 3-14 years) affected by high-grade bone sarcomas located in the distal half of the femur were surgically treated at our institute. Forty-two of these patients (16.5%) underwent rotationplasty. During this period, three adolescents older than 15 years were treated by rotationplasty owing to the tumor volume and extracompartmental involvement. In total, 45 patients underwent rotationplasty. From January 1986 to December 2000, rotationplasty generally was the preferred treatment for patients younger than 9 years with a high-grade bone sarcoma calling for an intra-or extraarticular resection of the distal femur, as long as the sciatic nerve could be spared. From January 2001, the procedure was not used as often. Of the 45 patients who underwent a rotationplasty, 14 died of disease at a mean of 37 months (31%); 31 patients (69%) were survivors at the time the study was done, 29 of whom were continuously disease free (64%) and two had no evidence of disease after a pulmonary metastasectomy (5%). These 31 patients were invited to participate in the study, and 25 of the 31 agreed to participate. There were 15 males and 10 females with a mean age of 23.8 years (SD, 7.5 years) and mean followup of 15 years (SD, 5.8 years). Clinical assessment included the MSTS score (total score ranges between 0 and 30 with 0 Each author certifies that he or she, or a member of his or her immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Clinical Orthopaedics and Related Research 1 neither advo...

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Section: Discussionsupporting

confidence: 47%

Section: Introductionmentioning

confidence: 99%

How Much Clinical and Functional Impairment do Children Treated With Knee Rotationplasty Experience in Adulthood?

Benedetti

Okita

Recubini

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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show abstract

“…Hillmann et al (1999) found it to be the same as after endoprosthetic reconstruction in bone tumor surgery. Gait analyses showed good functional restoration of gait after rotationplasty (Hillmann et al 2000). These results are lasting, as noted by Hanlon and Kraijbich (1999).…”

Section: Discussionsupporting

confidence: 77%

Rotationplasty--quality of life after 10 years in 22 patients

Rödl¹,

Pohlmann²,

Gosheger³

et al. 2002

Acta Orthopaedica Scandinavica

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“…[62][63] Patients with rotationplasty are reported to have less pain and are more likely to participate in sports as compared to megaprostheses. 61 Akahane et al 64 in a small group of 17 patients reported better function and quality of life results with a rotationplasty than with an endoprosthesis. Rotationplasty is a low cost alternative to prosthesis in a developing country like India.…”

Section: Rotationplastymentioning

confidence: 94%

“…These patients are able to walk normally, run, participate in leisure outdoor sporting activities, ride a bicycle and drive a car etc. The clinical appearance of rotationplasty Though very well described in literature with functional results comparable to an endoprosthetic reconstruction [59][60][61][62] , the limb disfigurement produced has been a psychological barrier to widespread acceptance especially in the developed world. Most series for functional evaluation have shown superior functional results compared to megaprostheses, but small numbers in rotationplasty group have made statistical evaluation difficult.…”

Section: Rotationplastymentioning

confidence: 99%