What is rotationplastic?
Rotationplastic defines the form of reconstruction of the lower leg instead of the overall amputation. The procedure creates a knee joint from the ankle and legs on the affected leg so that the prosthesis can be connected. The ankle joint is rotated 180 degrees before re -connecting muscle, nerves and blood vessels. RotationPlastic can allow patients to keep part of the foot and engage in greater physical activity after removing a tumor near the knee cap.
The surgeon performs this procedure usually removes the infected femur, along with a part of the shin if the cancer spreads. Some healthy bones in the area could also be removed to ensure that all cancer cells are cut. The remaining pieces of both bones are associated with surgical boards and screws to be stable.
When the surgeon rotates the ankle and leg, with a foot facing the back of the body, it serves as a knee joint. RotationPlastic represents a typical surgery performed in children that bones still grow and moou allow them to participate in organized sports. Notes of the foot can be connected to a special prosthesis, which is smaller and more convenient than the device used after complete amputation.
surgery can take 10 or more hours when the surgeon attaches blood vessels, muscles, tendons and nerves. After the procedure, the patient remains in the cast until the bone recovers. If chemotherapy continues after surgery to kill the remaining cancer cells, the healing time may take longer. During the recovery period, the patient is monitored in terms of adequate blood flow to the point of rotation.
This operation can be used in patients with osteosarcoma, bone cancer, which normally develops over adolescent years. Before the rotationplastic was improved in the 70s, amputation was the only option available to patients with bone cancer near the knee. Prosthetic knees often implanted if enough muscle remained but this plAstová and metal devices worn from abrasion with bone. Earlier forms of surgery also caused noticeable differences in leg length when the child grew.
Before rotation, doctors used formulas to estimate the growth of a healthy foot and adjust the placement of the ankle for compensation. As the patient grows, prosthetic devices can be changed to the lower leg. One disadvantage of this type of surgery focuses on the appearance of the ankle and foot, where there was once a knee. Some patients may also limp for surgery.