Silangan Seann Bregendale L, Abiera Joycie Eulah H, Gaston L Czar
Philippine General Hospital, University of the Philippines Manila.
College of Medicine and Philippine General Hospital, University of the Philippines Manila.
Acta Med Philipp. 2024 Nov 15;58(20):107-112. doi: 10.47895/amp.v58i20.9406. eCollection 2024.
Van Nes rotationplasty has gained popularity as a surgical treatment for malignant bone tumors without resorting to amputation. However, the nature of the surgery poses unique challenges in the rehabilitation management in order to optimize safety and functional mobility. We describe a case of a 6-year-old female with Ewing's sarcoma of the right femur who underwent Van Nes Type B-IIIA rotationplasty. This procedure involved a complete femoral resection, with the tibia and the foot rotated by 180 degrees and the lateral tibial plateau placed into the acetabulum that is expected to remodel to form a neo-hip joint. The patient was referred to rehabilitation medicine and was eventually admitted due to impairment in mobility secondary to the surgery. The goal was to achieve K-1 level of function. This case demonstrates that the rehabilitation management of a child with Type B-IIIA rotationplasty using a modified Van Nes prosthesis requires a comprehensive multidisciplinary approach.
范内斯旋转成形术作为一种无需截肢的恶性骨肿瘤手术治疗方法已越来越受欢迎。然而，该手术的性质在康复管理方面带来了独特的挑战，以优化安全性和功能移动性。我们描述了一例6岁右股骨尤文肉瘤女性患者，她接受了B-IIIA型范内斯旋转成形术。该手术包括完整的股骨切除，胫骨和足部旋转180度，外侧胫骨平台置入髋臼，预计髋臼会重塑形成一个新的髋关节。患者被转诊至康复医学科，最终因手术继发的移动功能障碍而入院。目标是达到K-1级功能。该病例表明，对于使用改良范内斯假体进行B-IIIA型旋转成形术的儿童，康复管理需要全面的多学科方法。
