Rotationplasty for Childhood Osteosarcoma of the Femur. A Case Report of an Eight-year-old Boy.:A Case Report of an Eight-year-old Boy

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This paper presented a case of an eight-year-old boy with osteosarcoma of the femur, in which the affected limb was reconstructed by the rotationplasty. Kotz firstly used the procedure for the treatment of the malignant bone tumor of the femur, which was reported in 1982.The operation was performed, following the Kotz's description. The postoperative course was uneventful, and functional recovery was satisfactory and rather quick. The patient never showed any psychiatric problem. Adjuvant chemotherapy was continued for a year, employing the combination of HD-MTX, ADR, CDDP. There was no local recurrence or distant metastasis for 13 months after the operation.Although its cosmetic result could be stressful for patients, the procedure offers many advantages as follows. The ability of reconstructed limb is functionally equal to below knee amputation and there is no complication of amputation neuroma. Compared with endoprosthetic replacement, there is no chance of prosthetic loosening and breakage. As growth persists in the operated limb, the problem of leg discrepancy can be avoided. In addition, radicality of the procedure is much safer than limb salvage operation.
西日本整形・災害外科学会の論文