Use of Van Nes rotationplasty to manage a burnt knee.
An 11 month old child sustained a deep burn injury to the left knee causing total destruction and sequestration of the knee epiphyses. The ensuing leg length discrepancy with growth was managed by a Van Nes rotationplasty at age four with a good immediate functional result using a below 'knee' prosthesis and the prospect of continuing ambulation as he grows. The surgical options for managing this problem are discussed.
Khatri
B
B
Department of Orthopaedics, Western Regional Hospital, Pokhara, Nepal.
Richard
B
B
D001186:Artificial Limbs; D002056:Burns / Q000150:complications*; D002675:Child, Preschool; D004838:Epiphyses / Q000293:injuries*; D006801:Humans; D007223:Infant; D007718:Knee Injuries / Q000150:complications*; D007719:Knee Joint / Q000601:surgery*; D007870:Leg Length Inequality / Q000209:etiology* / Q000601:surgery*; D008124:Locomotion; D008297:Male; D008722:Methods; D019651:Plastic Surgery Procedures