title: Principles of rotationplasty.
abstract: Rotationplasty is a reconstructive, limb-sparing option for management of lower extremity bone deficiency. This technique involves an intercalary resection, followed by 180° rotation of the distal limb to allow the ankle to function as a knee joint when it is fitted with a modified below-knee prosthesis. Gait analysis and functional outcome studies have reported favorable results with rotationplasty compared with those of above-knee amputation. Moreover, patient satisfaction with rotationplasty is higher than with other limb salvage procedures. The primary drawback of this procedure is patient acceptance of the limb's appearance.
authors.affiliation: Department of Surgery, University of Calgary, Calgary, Canada.
authors.forename: Sumit Kumar
authors.initials: SK
authors.lastname: Gupta
authors.forename: Nabil
authors.initials: N
authors.lastname: Alassaf
authors.forename: A Robertson
authors.initials: AR
authors.lastname: Harrop
authors.forename: Gerhard N
authors.initials: GN
authors.lastname: Kiefer
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D001859:Bone Neoplasms / Q000601:surgery*; D050281:Bones of Lower Extremity / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D006801:Humans; D023821:Limb Salvage / Q000379:methods*; D011788:Quality of Life; D012399:Rotation