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J Reconstr Microsurg 2014; 30(09): 655-658
DOI: 10.1055/s-0034-1370338
Letter to the Editor
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Microsurgical Transfer of the Proximal Tibia, Including Epiphysis, in the Management of High above Knee Amputations

Sara E. Atkins
1   Department of Plastic and Maxillofacial Surgery, The Royal Children's Hospital, Melbourne, Victoria, Australia
,
Ian P. Torode
2   Department of Orthopaedic Surgery, The Royal Children's Hospital, Melbourne, Victoria, Australia
,
Christopher J. Coombs
1   Department of Plastic and Maxillofacial Surgery, The Royal Children's Hospital, Melbourne, Victoria, Australia
› Institutsangaben
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Publikationsverlauf

20. Oktober 2013

01. Dezember 2013

Publikationsdatum:
28. März 2014 (online)

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The management and outcomes from treatment of femoral sarcoma are well documented. This involves oncological resection and either limb preservation with reconstruction, or above knee amputation (AKA).[1]

Diaphyseal limb amputations in children are associated with high stump morbidity because of bone spiking, with primary revision rates of 43% documented.[2]

Another alternative is the rotationplasty.[3] [4] This procedure utilizes the distal part of the amputated limb, including the ankle joint with preservation of the sciatic nerve. The remaining sensate foot, is fitted for a prosthesis reproducing a below knee amputated limb functionally.

 

  • References

  • 1 Hopyan S, Tan JW, Graham HK, Torode IP. Function and upright time following limb salvage, amputation, and rotationplasty for pediatric sarcoma of bone. J Pediatr Orthop 2006; 26 (3) 405-408
    CrossrefPubMedSuche in Google Scholar
  • 2 O'Neal ML, Bahner R, Ganey TM, Ogden JA. Osseous overgrowth after amputation in adolescents and children. J Pediatr Orthop 1996; 16 (1) 78-84
    CrossrefPubMedSuche in Google Scholar
  • 3 Winkelmann WW. Rotationplasty. Orthop Clin North Am 1996; 27 (3) 503-523
    PubMedSuche in Google Scholar
  • 4 Forni C, Gaudenzi N, Zoli M , et al. Living with rotationplasty—quality of life in rotationplasty patients from childhood to adulthood. J Surg Oncol 2012; 105 (4) 331-336
    CrossrefPubMedSuche in Google Scholar
  • 5 Wang GJ, Baugher WH, Stamp WG. Epiphyseal transplant in amputations. Effects on overgrowth in a rabbit model. Clin Orthop Relat Res 1978; (130) 285-288
    PubMedSuche in Google Scholar
  • 6 Brown K, Marie P, Lyszakowski T, Daniel R, Cruess R. Epiphysial growth after free fibular transfer with and without microvascular anastomosis. Experimental study in the dog. J Bone Joint Surg Br 1983; 65 (4) 493-501
    PubMedSuche in Google Scholar
  • 7 Innocenti M, Delcroix L, Romano GF. Epiphyseal transplant: harvesting technique of the proximal fibula based on the anterior tibial artery. Microsurgery 2005; 25 (4) 284-292
    CrossrefPubMedSuche in Google Scholar
  • 8 Cormack GC, Lamberty BGH. The arterial anatomy of skin flaps. 2nd ed. Edinburgh: Churchill Livingstone; 1994: 498-504
    Suche in Google Scholar
  • 9 Hallock GG, Anous MM, Sheridan BC. The surgical anatomy of the principal nutrient vessel of the tibia. Plast Reconstr Surg 1993; 92 (1) 49-54
    CrossrefPubMedSuche in Google Scholar
  • 10 Hannouche D, Duparc F, Beaufils P. The arterial vascularization of the lateral tibial condyle: anatomy and surgical applications. Surg Radiol Anat 2006; 28 (1) 38-45
    CrossrefPubMedSuche in Google Scholar