title: [Van Nes rotationplasty in two patients with congenital femoral deficiency].
abstract: Congenital femoral deficiencies have a wide spectrum ranging from simple hypoplasia to complete femoral aplasia. They are often associated with congenital shortening of the tibia and fibular hemimelia. This anomaly has no known genetic transmission. There are two main treatment modalities for congenital femoral deficiency: prosthetic replacement surgery (Syme amputation or Van Nes rotationplasty followed by prosthetic fitting) and lengthening reconstruction surgery. In this report, we presented two patients (male, 26 years; girl, 7 years) with congenital femoral deficiency treated with Van Nes rotationplasty. In both cases, the treatment took 1.5 months, after which the patients were mobilized with prosthesis. No complications were encountered within a follow-up period of five years and 1.5 years, respectively. Rotationplasty enables an improved functional gait in patients with a very short femoral segment or Paley type 3 femoral deficiency.
authors.affiliation: Department of Orthopedics and Traumatology (Ortopedi ve Travmatoloji Anabilim Dali), Medicine Faculty of Istanbul University, Istanbul, Turkey. korhanozkan@hotmail.com
authors.forename: Korhan
authors.initials: K
authors.lastname: Ozkan
authors.forename: Mehmet
authors.initials: M
authors.lastname: Kocaoğlu
authors.forename: Levent
authors.initials: L
authors.lastname: Eralp
authors.forename: Firat
authors.initials: F
authors.lastname: Yağmurlu
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D000328:Adult; D001186:Artificial Limbs; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D005269:Femur / Q000002:abnormalities* / Q000601:surgery; D006801:Humans; D007870:Leg Length Inequality / Q000151:congenital / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008297:Male; D010027:Osteotomy