Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University, Taoyuan City 333, Taiwan.
Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan City 333, Taiwan.
Medicina (Kaunas). 2023 Oct 23;59(10):1879. doi: 10.3390/medicina59101879.
Rotationplasty, a limb-saving procedure involving a 180-degree ankle rotation to function as a knee joint, is now standard for treating distal femur osteosarcoma. However, challenges related to self-identification persist within the Asian population. This study presents a case involving the successful application of temporary ectopic implantation followed by staged rotationplasty after a severe traumatic amputation, resulting in a favorable outcome. Additionally, a systematic review is conducted to summarize the various difficulties and complications encountered in different studies. This approach improves the feasibility of rotationplasty in traumatic cases and enhances patient and family comprehension.
旋转成形术，一种涉及 180 度踝关节旋转以充当膝关节的保肢手术，现在是治疗股骨远端骨肉瘤的标准方法。然而，亚洲人群中仍然存在与自我认同相关的挑战。本研究报告了一例严重创伤性截肢后成功应用临时异位植入物，随后进行分期旋转成形术的病例，结果良好。此外，还进行了系统综述，总结了不同研究中遇到的各种困难和并发症。这种方法提高了旋转成形术在创伤性病例中的可行性，并增强了患者和家属的理解。
