title: Rotationplasty in adult cancer patients: what is the rehab strategy and what results can be expected? A case study.
abstract: OBJECTIVE
  Rotationplasty is an important and demanding challenge for physiotherapists. The aim of this paper is to describe the functional outcome achieved by a patient undergoing rotationplasty in adult age following osteosarcoma. Case description and Methods: The patient was followed throughout the rehabilitation course and the results achieved were recorded at 6, 9 and 12 months after surgery. Findings and outcomes: The results progressively improved in terms of function, functional performance and quality of life. The MSTS and TESS scales showed an improvement respectively of 20 and 23 percentage points, reaching levels of 80% and 87%. The quality of life perceived by the patient increased in the three assessments, the mental health score at one-year follow-up is higher than that expected for the population.
  
  
  CONCLUSIONS
  Rotationplasty, even in adult age, produces good results and in the treatment of tumours in adults this operation should be taken into consideration. Clinical relevance Rotationplasty in adult age following osteosarcoma combined with a rehabilitation program enabled a patient to reach a successful outcome in terms of functional performance and quality of life.
authors.affiliation: Istituto Ortopedico Rizzoli, Bologna, Italy.
authors.forename: Mattia
authors.initials: M
authors.lastname: Morri
authors.affiliation: Istituto Ortopedico Rizzoli, Bologna, Italy.
authors.forename: Cristiana
authors.initials: C
authors.lastname: Forni
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D001707:Biopsy, Needle; D005260:Female; D005266:Femoral Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000534:rehabilitation* / Q000601:surgery*; D005269:Femur / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D059351:Organ Sparing Treatments / Q000379:methods*; D019637:Orthopedic Procedures / Q000379:methods*; D012516:Osteosarcoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000534:rehabilitation* / Q000601:surgery*; D018570:Risk Assessment; D013977:Tibia / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome
keywords: Bone Neoplasms; Recovery of Function; Rehabilitation; Rotationplasty