title: Reconstruction after external hemipelvectomy using tibia-hindfoot rotationplasty with calcaneo-sacral fixation.
abstract: BACKGROUND
  External hemipelvectomy is associated with high post operative morbidity and a poor functional outcome. We aim to explore a reconstruction technique to improve function and post operative appearance for patients who undergo external hemipelvectomy.
  
  
  METHODS
  We present a Case where extensive cancer involvement of pelvis and femur was managed with a novel surgical technique, which involved a calf sparing modified anterior flap hemipelvectomy combined with rotationplasty of the spared calf and fixation of calcaneus to the sacrum, thereby recreating a new thigh stump.
  
  
  CONCLUSIONS
  Tibia-hindfoot rotationplasty result in good functional outcome and appearance for selected patients undergoing external hemipelvectomy with unaffected external iliac and femoral vessels.
authors.affiliation: Department of Orthopaedic Surgery, St, Vincent's Hospital, Melbourne, Australia. sarcoma@bigpond.net.au.
authors.forename: George Yx
authors.initials: GY
authors.lastname: Kong
authors.forename: Hannes A
authors.initials: HA
authors.lastname: Rudiger
authors.forename: Eugene Th
authors.initials: ET
authors.lastname: Ek
authors.forename: Wayne A
authors.initials: WA
authors.lastname: Morrison
authors.forename: Peter Fm
authors.initials: PF
authors.lastname: Choong