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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
› Author Affiliations
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Publication History

20 October 2013

01 December 2013

Publication Date:
28 March 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.

 

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