Department of Surgery, University of Calgary, Calgary, Canada.
J Am Acad Orthop Surg. 2012 Oct;20(10):657-67. doi: 10.5435/JAAOS-20-10-657.
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.
旋转成形术是一种保留肢体的重建方法，用于治疗下肢骨缺损。该技术涉及间插切除，然后将远端肢体旋转 180°，以便当安装修改后的膝下假体时，踝关节可以作为膝关节发挥作用。步态分析和功能结果研究报告称，与膝上截肢相比，旋转成形术的结果更好。此外，患者对旋转成形术的满意度高于其他保肢手术。该手术的主要缺点是患者对肢体外观的接受程度。
