The Journal of Bone and Joint Surgery, Vol 74, Issue 1 101-105, Copyright © 1992 by Journal of Bone and Joint Surgery, Inc
Evaluation of the lymph flow with lymphoscintigraphy after rotationplasty for the treatment of bone tumors
AH Taminiau, JW Arndt, JH van Bockel, JR Steenhoff and EK Pauwels
University Hospital Leiden, The Netherlands.
We studied the cases of eleven patients in whom a rotationplasty had been
done after wide resection of the distal part of the femur. All patients had
had a malignant tumor of bone, but none had the complication of edema or
leakage of lymph after the rotationplasty. We made lymphoscintiscans soon
after the operation in four patients and weeks or months later in all
eleven patients. There was a delay in the flow of lymph in three of the
four patients who were examined lymphoscintigraphically soon after the
operation and there was obstruction of flow in the fourth patient, but
there was evidence of a decreased rate of flow in only two of the eleven
patients at the time of the later examination.