Rigault P, Mallet J F, Padovani J P
Int Orthop. 1987;11(1):43-51. doi: 10.1007/BF00266057.
Six rotation-plasties, as described by Van Nes, have been carried out in children between 5 and 11 years of age, 5 of whom had congenital defects of the proximal femur, and the other femoral hypoplasia. The operation involved arthrodesis of the knee, accurate shortening of the leg so that the ankle would be at the same level as the opposite knee at the end of growth, and clockwise derotation of the leg through 180 degrees. The only complications encountered were 3 transient palsies of the peroneal nerve. Rerotation was only required if the operation was performed in early childhood, or if it had been carried out counterclockwise. The ideal age for operation seems to be between 8 and 10 years of age. The results are satisfactory. Function and gait are improved. The prosthesis may need to be long because of the pelvi-femoral instability associated with the basic deformity. The operation is indicated in some children with congenital abnormalities of the femur who would otherwise require a rigid brace or an amputation to accommodate a prosthesis.
按照范内斯（Van Nes）所描述的方法，对5至11岁的儿童进行了6例旋转成形术。其中5例患有股骨近端先天性缺陷，另一例为股骨发育不全。手术包括膝关节融合、精确缩短腿部，以便在生长结束时踝关节与对侧膝关节处于同一水平，以及将腿部顺时针旋转180度。仅出现了3例腓总神经短暂性麻痹这一并发症。只有在幼儿期进行手术或逆时针进行手术时才需要再次旋转。理想的手术年龄似乎在8至10岁之间。结果令人满意。功能和步态得到改善。由于与基本畸形相关的骨盆-股骨不稳定，假肢可能需要很长。对于一些患有股骨先天性异常的儿童，如果不进行该手术则需要使用刚性支具或截肢来适配假肢，此时该手术是适用的。
