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Rotationplasty as a salvage of failed primary limb reconstruction: up to date review and case report

Canavese, Federicoa; Samba, Antoinea; Khan, Ahmada; Dechelotte, Pierreb; Krajbich, Joseph I.c

Journal of Pediatric Orthopaedics B: May 2014 - Volume 23 - Issue 3 - p 247–253
doi: 10.1097/BPB.0000000000000015
Hip & Femur

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.

Departments of aPediatric Surgery

bPathology, CHU Estaing, Clermont Ferrand, France

cDepartment of Pediatric Orthopedic Surgery, Shriners Hospital for Children, Portland, Oregon, USA

Correspondence to Federico Canavese, MD, PhD, Department of Pediatric Surgery, CHU Estaing, 1 Place Lucie et Raymond Aubrac 63003 Clermont Ferrand, France Tel: +33 4 73750293; fax: +33 4 73750291; e-mail: canavese_federico@yahoo.fr

© 2014 by Lippincott Williams & Wilkins, Inc.