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Rotationplasty allows the use of the knee joint, whereas amputation would result in loss of that joint. Therefore, it provides a better attachment point and range of motion for a prosthetic limb. As a result, children who have had rotationplasty can play sports, run, climb, and do more than would be possible with a jointless prosthetic.
Rotationplasty, more commonly known as Van-Nes or Borggreve Rotation, is a limb-sparing medical procedure performed when a patient's leg is amputated at the knee. [23] The ankle joint is then rotated 180 degrees and is attached to the former knee joint, becoming a new knee joint. [23] This allows patients to have two fully functional feet, as ...
An above-knee amputation partial foot amputation amputation of the lower limb distal to the ankle joint ankle disarticulation amputation of the lower limb at the ankle joint trans-tibial amputation amputation of the lower limb between the knee joint and the ankle joint, commonly referred to as a below-knee amputation knee disarticulation
An amputation between the knee and ankle joints transecting the tibia, or shinbone, is referred to as a transtibial amputation. In this situation, the patient may retain volitional control over the knee joint. The cause of amputation may dictate the length of the residual limb and the corresponding level of control of the prosthesis.
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The surgical procedure is typically done in two stages, but it is possible to conduct the surgery in one stage. The first stage is the discontinuation of the waste functions by performing a colostomy and ileal conduit in the upper abdominal quadrants. The second stage is the amputation at the lumbar spine. [5] [6]
Short deformed leg; Absence of the lateral part of the ankle joint (due to absence of the distal end of the fibula), and what is left is unstable; the foot has an equinovalgus deformity; Possible absence of part of the foot requiring surgical intervention to bring the foot into normal function, or amputation.
The surgery is generally performed under general anaesthesia. The surgeon makes an incision in the upper leg, and a graft either man-made or the patient's vein is sewn to both ends of the artery. [20] The graft reroutes the blood flow around the blocked artery, allowing for adequate supply back to the parts of the leg.