Reconstruction after external hemipelvectomy using tibia-hindfoot rotationplasty with calcaneo-sacral fixation.
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.
Kong
George Yx
GY
Department of Orthopaedic Surgery, St, Vincent's Hospital, Melbourne, Australia. sarcoma@bigpond.net.au.
Rudiger
Hannes A
HA
Ek
Eugene Th
ET
Morrison
Wayne A
WA
Choong
Peter Fm
PF