XML Print

Department of Surgery, Division of Plastic Surgery, University of Utah School of Medicine, Salt Lake City 84132, Utah, United States
Abstract:   (87 Views)
Knee rotationplasty is a suitable reconstructive and limb salvage procedure for infected femur and knee prostheses. It involves external rotation of the lower limb with an intact neurovascular bundle to function as a knee joint. Functionally, it has better outcomes when compared to alternate options like above knee amputation. It results in better cortical reorganization and superior stance mechanics, enabling a more efficient gait and better quality of life. We report a patient who underwent modified rotationplasty for an infected knee endoprosthesis as a composite lower leg free flap.
Full-Text [PDF 559 kb]   (35 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2021/06/10 | Accepted: 2021/02/22

1. Fuchs B, Sim F. Rotationplasty about the knee: surgical technique and anatomical considerations. Clinical Anatomy: The Official Journal of the American Association of Clinical Anatomists and the British Association of Clinical Anatomists. 2004;17(4):345-53. [DOI:10.1002/ca.10211]
2. Fujiki M, Miyamoto S, Nakatani F, Kawai A, Sakuraba M. Rotationplasty with vascular reconstruction for prosthetic knee joint infection. Case reports in orthopedics. 2015;2015. [DOI:10.1155/2015/241405]
3. Gupta SK, Alassaf N, Harrop RA, Kiefer GN. Principles of rotationplasty. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2012;20(10):657-67. [DOI:10.5435/00124635-201210000-00005]
4. Agarwal M, Puri A, Anchan C, Shah M, Jambhekar N. Rotationplasty for bone tumors: is there still a role? Clinical Orthopaedics and Related Research®. 2007;459:76-81. [DOI:10.1097/BLO.0b013e31805470f0]
5. Pérez‐García A, Salom M, Villaverde‐Doménech ME, Baixauli F, Simón‐Sanz E. Free microvascular rotationplasty with nerve repair for rhabdomyosarcoma in a 18‐month‐old patient. Microsurgery. 2017;37(4):344-7. [DOI:10.1002/micr.30147]
6. Wicart P, Mascard E, Missenard G, Dubousset J. Rotationplasty after failure of a knee prosthesis for a malignant tumour of the distal femur. The Journal of bone and joint surgery British volume. 2002;84(6):865-9. [DOI:10.1302/0301-620X.84B6.0840865]
7. Tiwari P, Agrawal N, Kocak E. The use of free microvascular techniques to improve the results of van nes rotationplasty. Annals of plastic surgery. 2013;70(6):672-4. [DOI:10.1097/SAP.0b013e31824332be]
8. Kundu ZS, Gupta V, Gogna P, Sangwan SS. Partial-limb salvage after persistent infection in the distal femoral prosthesis: straight-plasty-a novel technique. J Coll Physicians Surg Pak. 2014;24(3):213-5.
9. Fuchs B, Kotajarvi BR, Kaufman KR, Sim FH. Functional outcome of patients with rotationplasty about the knee. Clinical Orthopaedics and Related Research®. 2003;415:52-8. [DOI:10.1097/01.blo.0000093896.12372.c1]
10. Rota V, Benedetti MG, Okita Y, Manfrini M, Tesio L. Knee rotationplasty: motion of the body centre of mass during walking. International journal of rehabilitation research Internationale Zeitschrift fur Rehabilitationsforschung Revue internationale de recherches de readaptation. 2016;39(4):346. [DOI:10.1097/MRR.0000000000000195]
11. Hillmann A, Rosenbaum D, Schröter J, Gosheger G, Hoffmann C, Winkelmann W. Electromyographic and gait analysis of forty-three patients after rotationplasty. JBJS. 2000;82(2):187-96. [DOI:10.2106/00004623-200002000-00004]
12. Seroussi RE, Gitter A, Czerniecki JM, Weaver K. Mechanical work adaptations of above-knee amputee ambulation. Archives of physical medicine and rehabilitation. 1996;77(11):1209-14. [DOI:10.1016/S0003-9993(96)90151-3]
13. Bae TS, Choi K, Hong D, Mun M. Dynamic analysis of above-knee amputee gait. Clinical Biomechanics. 2007;22(5):557-66. [DOI:10.1016/j.clinbiomech.2006.12.009]
14. Zhang J, Zhang Y, Wang L, Sang L, Li L, Li P, et al. Brain functional connectivity plasticity within and beyond the sensorimotor network in lower-limb amputees. Frontiers in human neuroscience. 2018;12:403. [DOI:10.3389/fnhum.2018.00403]
15. Tesio L, Benedetti MG, Rota V, Manfrini M, Perucca L, Caronni A. Surgical leg rotation: cortical neuroplasticity assessed through brain mapping using transcranial magnetic stimulation. International journal of rehabilitation research Internationale Zeitschrift fur Rehabilitationsforschung Revue internationale de recherches de readaptation. 2014;37(4):323. [DOI:10.1097/MRR.0000000000000075]

Add your comments about this article : Your username or Email:

© 2021 CC BY-NC 4.0 | World Journal of Plastic Surgery

Designed & Developed by : Yektaweb