Prosthetic rehabilitation in pediatric patient amputated with Van Nes rotation plasty (Cali, Colombia)
DOI:
https://doi.org/10.28957/rcmfr.v30n1a6Keywords:
Van Nes Rotationplasty, Knee, Rehabilitation, Prostheses, Osteosarcoma, Amputation.Abstract
Van Nes type rotationplasty is a reconstructive option for patients with congenital or acquired lower limb bone loss. We describe prosthetic rehabilitation in a pediatric oncological patient with osteosarcoma of the left distal femur that required Van Nes type rotationplasty and subsequent rehabilitation by a multidisciplinary team. Independent gait and functional improvement were achieved. Rotationplasty with preservation of the mechanism of active control of the pseudo-knee offers an adequate result for the adaptation of prostheses allowing functional and independent gait. Due to anatomical, oncological conditions and biomechanical changes, these patients require a rigorous prosthetic rehabilitation plan led by a multidisciplinary team which includes specialists in rehabilitation, social work, psychology and other professions, in order to provide timely, optimal care with satisfactory results in terms of independence and functionality in daily living activities.References
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3. Sawamura C, Koyanagi H, Okawa A, Matsumoto S, Shimoji T, Ae K, et al. Indications for and surgical complications of rotationplasty. J Orthop Sci. 2012; 17(6):775-781. Disponible en: http://doi.org/10.1007/s00776-012-0278-9.
4. Sakkers R, van Wijk I. Amputation and rotationplasty in children with limb deficiencies: current concepts. J Chil Orthop. 2016;10:6198-626. Disponible en: https://doi.org/10.1007/s11832-016-0788-7.
5. Klos K, Mückley T, Gras F, Hofmann GO, Schmidt R. Early posttraumatic rotationplasty after severe degloving and soft tissue avulsion injury: A case report. J Orthop Trauma. 2010;24(2):e1- e5. Disponible en: https://doi.org/10.1097/bot.0b013e3181b1df3c.
6. Gebert C, Hardes J, Vieth V, Hillmann A, Winkelmann W, Gosheger G. The effect of rotationplasty on the ankle joint: Long-term results. Prosthet Orthot Int. 2006; 30(3):316-323. Disponible en: https://doi.org/10.1080/03093640600863802.
7. Benedetti M, Okita Y, Recubini E, Mariani E, Leardini A, Manfrini M. How much clinical and functional impairment do children treated with knee rotationplasty experience in adulthood? Clin Orthop Relat Res. 2016;474(4):995-1004. Disponible en: https://doi.org/10.1007/s11999-016-4691-9.
8. Rödl RW, Pohlmann U, Gosheger G, Lindner NJ, Winkelmann W. Rotationplasty - Quality of life after 10 years in 22 patients. Acta Orthop Scand. 2002;73(1):85-88. Disponible en: https://doi.org/10.1080 000164702317281468.
9. So NF, Andrews KL, Anderson K, Gozola MA, Shives TC, Rose PS, et al. Prosthetic fitting after rotationplasty of the knee. Am J Phys Med Rehabil. 2014;93(4):328-334. Disponible en: https://doi.org/10.1097/phm.0000000000000044.
10. Ackman J, Altiok H, Flanagan A, Peer M, Graf A, Krzak J, et al. Long-term follow-up of Van Nes rotationplasty in patients with congenital proximal focal femoral deficiency. Bone Joint J. 2013;95- B(2):192-198. Disponible en: https://doi.org/10.1302/0301-620x.95b2.30853.
2. Fuchs B, Sim FH. Rotationplasty about the knee: surgical technique and anatomical considerations. Clin Anat. 2004;17(4):345-353. Disponible en: https://doi.org/10.1002/ca.10211.
3. Sawamura C, Koyanagi H, Okawa A, Matsumoto S, Shimoji T, Ae K, et al. Indications for and surgical complications of rotationplasty. J Orthop Sci. 2012; 17(6):775-781. Disponible en: http://doi.org/10.1007/s00776-012-0278-9.
4. Sakkers R, van Wijk I. Amputation and rotationplasty in children with limb deficiencies: current concepts. J Chil Orthop. 2016;10:6198-626. Disponible en: https://doi.org/10.1007/s11832-016-0788-7.
5. Klos K, Mückley T, Gras F, Hofmann GO, Schmidt R. Early posttraumatic rotationplasty after severe degloving and soft tissue avulsion injury: A case report. J Orthop Trauma. 2010;24(2):e1- e5. Disponible en: https://doi.org/10.1097/bot.0b013e3181b1df3c.
6. Gebert C, Hardes J, Vieth V, Hillmann A, Winkelmann W, Gosheger G. The effect of rotationplasty on the ankle joint: Long-term results. Prosthet Orthot Int. 2006; 30(3):316-323. Disponible en: https://doi.org/10.1080/03093640600863802.
7. Benedetti M, Okita Y, Recubini E, Mariani E, Leardini A, Manfrini M. How much clinical and functional impairment do children treated with knee rotationplasty experience in adulthood? Clin Orthop Relat Res. 2016;474(4):995-1004. Disponible en: https://doi.org/10.1007/s11999-016-4691-9.
8. Rödl RW, Pohlmann U, Gosheger G, Lindner NJ, Winkelmann W. Rotationplasty - Quality of life after 10 years in 22 patients. Acta Orthop Scand. 2002;73(1):85-88. Disponible en: https://doi.org/10.1080 000164702317281468.
9. So NF, Andrews KL, Anderson K, Gozola MA, Shives TC, Rose PS, et al. Prosthetic fitting after rotationplasty of the knee. Am J Phys Med Rehabil. 2014;93(4):328-334. Disponible en: https://doi.org/10.1097/phm.0000000000000044.
10. Ackman J, Altiok H, Flanagan A, Peer M, Graf A, Krzak J, et al. Long-term follow-up of Van Nes rotationplasty in patients with congenital proximal focal femoral deficiency. Bone Joint J. 2013;95- B(2):192-198. Disponible en: https://doi.org/10.1302/0301-620x.95b2.30853.
How to Cite
1.
Álzate Tobón NO, Ramírez Abadía LA, Leiva Pemberthy LM. Prosthetic rehabilitation in pediatric patient amputated with Van Nes rotation plasty (Cali, Colombia). Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2020 Sep. 9 [cited 2024 May 17];30(1):67-71. Available from: https://revistacmfrorg.biteca.online/index.php/rcmfr/article/view/269
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Published
2020-09-09
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