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Vascular management in rotationplasty.
- Source :
-
Clinical orthopaedics and related research [Clin Orthop Relat Res] 2008 May; Vol. 466 (5), pp. 1210-6. Date of Electronic Publication: 2008 Mar 18. - Publication Year :
- 2008
-
Abstract
- The Van Nes rotationplasty is a useful limb-preserving procedure for skeletally immature patients with distal femoral or proximal tibial malignancy. The vascular supply to the lower limb either must be maintained and rotated or transected and reanastomosed. We asked whether there would be any difference in the ankle brachial index or complication rate for the two methods of vascular management. Vessels were resected with the tumor in seven patients and preserved and rotated in nine patients. One amputation occurred in the group in which the vessels were preserved. Four patients died secondary to metastatic disease diagnosed preoperatively. The most recent ankle brachial indices were 0.96 and 0.82 for the posterior tibial and dorsalis pedis arteries, respectively, in the reconstructed group. The ankle brachial indices were 0.98 and 0.96 for the posterior tibial and dorsalis pedis arteries, respectively, in the rotated group. Outcomes appear similar using both methods of vascular management and one should not hesitate to perform an en bloc resection when there is a question of vascular involvement.
- Subjects :
- Adolescent
Anastomosis, Surgical
Ankle blood supply
Blood Pressure
Bone Neoplasms mortality
Bone Neoplasms pathology
Bone Neoplasms physiopathology
Brachial Artery physiopathology
Child
Female
Femoral Neoplasms mortality
Femoral Neoplasms pathology
Femoral Neoplasms physiopathology
Humans
Male
Neoplasm Invasiveness
Retrospective Studies
Rotation
Tibia blood supply
Tibia pathology
Treatment Outcome
Bone Neoplasms surgery
Femoral Neoplasms surgery
Lower Extremity blood supply
Orthopedic Procedures methods
Tibia surgery
Vascular Surgical Procedures adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 0009-921X
- Volume :
- 466
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Clinical orthopaedics and related research
- Publication Type :
- Academic Journal
- Accession number :
- 18347891
- Full Text :
- https://doi.org/10.1007/s11999-008-0197-4