Modified Van Nes rotationplasty for osteosarcoma of the proximal tibia in children

Bari, Aafreen; Krajbich, J. Ivan; Länger, F; El, Hamilton; Hubbard, Sherri-Lynn

doi:10.1302/0301-620x.72b6.2246290

Cited by 22 publications

(16 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although it still is the subject of debate, good psychologic adjustment of patients who had rotationplasty is supported by numerous reports. 1,2,5,11,12,14,15,18,25,26 This also is the experience at our institution. In a recent report, Rodl et al 21 assessed the quality of life, diplomas, life-contentment, occupational situation, and marriage status 10 years after surgery in 22 patients with rotationplasty.…”

Section: Discussionsupporting

confidence: 54%

Functional Outcome of Patients With Rotationplasty About the Knee

Fuchs¹,

Kotajarvi²,

Kaufman³

et al. 2003

Clinical Orthopaedics and Related Research

View full text Add to dashboard Cite

Rotationplasty is a surgical procedure designed to achieve a durable reconstruction after the resection of tumors about the knee. However, because of the recent advances with expandable prostheses, rotationplasty has been less popular in the skeletally immature patient, particularly in the United States. We assessed the functional outcome of patients who had rotationplasty to allow better comparison with other operative techniques in this patient population. Seven patients, who were operated on at our institution at an average age of 9.4 years (range, 5-14 years), had a followup of at least 4 years and were evaluated in the Motion Analysis Laboratory. The gait analysis included kinetic, kinematic and temporal-distance parameters to evaluate the patient's functional performance. The data also were compared with measurements of a population of 25 able-bodied subjects and with four subjects with distal above-knee amputation. All patients had the ability to weightbear fully. All patients ambulated without assistive devices. Gait analysis of patients with rotationplasty revealed only slight asymmetry regarding stride duration, stride length, cadence, velocity and stance-swing ratio compared with healthy subjects. Although the gait was similar to subjects with distal above-knee amputation, knee motion was superior in patients who had rotationplasty. Rotationplasty offers a durable reconstruction. Rotationplasty allows the patient to actively control the knee, which results in a coordinated gait pattern, which is similar to the gait of the able-bodied population, and better than in subjects with distal-knee amputation.

show abstract

Section: Discussionsupporting

confidence: 54%

Functional Outcome of Patients With Rotationplasty About the Knee

Fuchs¹,

Kotajarvi²,

Kaufman³

et al. 2003

Clinical Orthopaedics and Related Research

View full text Add to dashboard Cite

show abstract

“…In addition, this procedure was reported as a novel limb salvage method for the treatment of osteosarcoma of the distal femur [2] and proximal tibia [3]. Although the biological and functional advantages of an active 'knee joint' with a pylon were reported previously [4,5], the rotated lower leg has a poor appearance, which is an important concern regarding the psychosocial functioning and social acceptance of this procedure in young patients [6].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of postoperative general quality of life for patients with osteosarcoma around the knee joint

Akahane

Shimizu

Isobe

et al. 2007

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

We evaluated the medium and long-term outcomes on the basis of patients' function and general quality of life after three different surgical procedures for osteosarcoma around the knee joints, that is, amputation, prosthetic reconstruction and rotationplasty. Twenty-six procedures in 22 patients who survived for at least 1 year after surgery were assessed for functional analysis (scores of the Musculoskeletal Tumor Society), and health-related quality of life assessment (SF-36) was applied to 17 patients who are alive without the disease. The patients treated with rotationplasty showed significantly high functional scores in two of six categories as compared with those undergoing the other two procedures. The scores of SF-36 also showed higher values for seven of eight subscales, however, no significant differences were observed for any subscale. We demonstrated that despite no statistical difference in patient self-assessment of outcome between the treatment modalities, there were functional benefits of rotationplasty over prosthetic reconstruction and amputation.

show abstract

“…Torode and Gillespie [15], Krajbich and Carroll [7] and Brown [6] described technical modifications of the technique for the treatment of congenital abnormalities of the femur, primarily PFFD. Kotz and Salzer [19], Krajbich and colleagues [20][21][22][23], and Winkelman [24] reported a successful outcome of rotationplasty in patients with malignant tumors of the lower extremity. The principle of the procedure has, however, remained the same.…”

Section: Introductionmentioning

confidence: 99%

Rotationplasty as a salvage of failed primary limb reconstruction

Canavese

Samba

Khan

et al. 2014

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

We report a case of a 15-year-old girl who is a known case for proximal focal femoral deficiency. She underwent several surgical lengthening procedures. Her course was complicated by femur nonunion, knee joint dislocation, stiff knee, and final lower limb discrepancy of over 15 cm. Rotationplasty was performed to salvage her previous surgical failures and restore her function. Surgery was uneventful and the patient was able to walk with the prosthesis in a few months after index surgery. Although the outcome of rotationplasty is visually unusual, for some children restored function and physical capabilities outweigh cosmetic concerns. The aim of the present study was to report a case of rotationplasty in salvaging a failed primary limb reconstruction in a patient with proximal femur focal deficiency.

show abstract

Modified Van Nes rotationplasty for osteosarcoma of the proximal tibia in children

Cited by 22 publications

References 3 publications

Functional Outcome of Patients With Rotationplasty About the Knee

Functional Outcome of Patients With Rotationplasty About the Knee

Evaluation of postoperative general quality of life for patients with osteosarcoma around the knee joint

Rotationplasty as a salvage of failed primary limb reconstruction

Contact Info

Product

Resources

About