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The Journal of Bone and Joint Surgery 79:771-4 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Rotationplasty for the Treatment of Severe Bone Loss and Infection of the Distal End of the Femur. A Case Report*

CHRISTIAN KRETTEK, M.D.{dagger}, DAVID A. LEWIS, M.D.{ddagger}, THEODORE MICLAU, M.D.§, PETER SCHANDELMAIER, M.D.{dagger}, PHILIPP LOBENHOFFER, M.D.{dagger} and HARALD TSCHERNE, M.D.{dagger}, HANNOVER, GERMANY

Investigation performed at the Trauma Department, Hannover Medical School, Hannover


   Introduction
 
Rotationplasty, or shortening of the leg with rotation of 180 degrees to allow the ankle to function as a knee joint2, is known to be a dependable and durable alternative to above-the-knee amputation for the treatment of malignant tumors about the knee4-7,12-15,17-19,21,22. Compared with patients who have had an above-the-knee amputation, patients who have had a rotationplasty are more active, participate in higher-demand activities, and are less concerned about the limb4,12,13,15,17,21,22. Despite the low rate of complications associated with this procedure7,12,13,22, rotationplasty is infrequently performed in adults and has not been previously described for post-traumatic limb salvage, to our knowledge.

We describe the use of rotationplasty in the treatment of a grade-IIIC open fracture8 of the distal part of the femur complicated by infection and loss of bone.


   Case Report
 
A thirty-one-year-old healthy male laborer sustained bilateral injury of the lower extremity as a passenger in a train . . . [Full Text of this Article]


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