Optimizing Traumatic Limb Salvage: Ectopic Implantation and Staged Rotationplasty

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 successf...

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Main Authors: Yi-Keng Hsieh, Chang-Heng Liu, Ching-Hsuan Hu
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/10/1879
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author Yi-Keng Hsieh
Chang-Heng Liu
Ching-Hsuan Hu
author_facet Yi-Keng Hsieh
Chang-Heng Liu
Ching-Hsuan Hu
author_sort Yi-Keng Hsieh
collection DOAJ
description 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.
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spelling doaj.art-206ce7dbb4b94ef4b96e2585f73d525f2023-11-19T17:18:37ZengMDPI AGMedicina1010-660X1648-91442023-10-015910187910.3390/medicina59101879Optimizing Traumatic Limb Salvage: Ectopic Implantation and Staged RotationplastyYi-Keng Hsieh0Chang-Heng Liu1Ching-Hsuan Hu2Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University, Taoyuan City 333, TaiwanDepartment of Orthopaedic Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan City 333, TaiwanDepartment of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University, Taoyuan City 333, TaiwanRotationplasty, 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.https://www.mdpi.com/1648-9144/59/10/1879rotationplastyectopic implantationlimb salvagetrauma
spellingShingle Yi-Keng Hsieh
Chang-Heng Liu
Ching-Hsuan Hu
Optimizing Traumatic Limb Salvage: Ectopic Implantation and Staged Rotationplasty
Medicina
rotationplasty
ectopic implantation
limb salvage
trauma
title Optimizing Traumatic Limb Salvage: Ectopic Implantation and Staged Rotationplasty
title_full Optimizing Traumatic Limb Salvage: Ectopic Implantation and Staged Rotationplasty
title_fullStr Optimizing Traumatic Limb Salvage: Ectopic Implantation and Staged Rotationplasty
title_full_unstemmed Optimizing Traumatic Limb Salvage: Ectopic Implantation and Staged Rotationplasty
title_short Optimizing Traumatic Limb Salvage: Ectopic Implantation and Staged Rotationplasty
title_sort optimizing traumatic limb salvage ectopic implantation and staged rotationplasty
topic rotationplasty
ectopic implantation
limb salvage
trauma
url https://www.mdpi.com/1648-9144/59/10/1879
work_keys_str_mv AT yikenghsieh optimizingtraumaticlimbsalvageectopicimplantationandstagedrotationplasty
AT changhengliu optimizingtraumaticlimbsalvageectopicimplantationandstagedrotationplasty
AT chinghsuanhu optimizingtraumaticlimbsalvageectopicimplantationandstagedrotationplasty