Rotationplasty with Tibial Nerve Coaptation: A Case Report.
JBJS Case Connect
; 13(1)2023 01 01.
Article
em En
| MEDLINE
| ID: mdl-36853969
ABSTRACT
CASE We present the case of a 14-year-old adolescent boy with a distal femoral osteosarcoma partially encasing the tibial nerve. He underwent rotationplasty with resection and coaptation (end-to-end repair) of the tibial nerve. By 1 year postoperatively, he had recovered sensation on the plantar aspect of his foot and Medical Research Council scale 4+/5 gastro-soleus contraction that powered extension of the new knee. CONCLUSION:
Tibial nerve resection is not an absolute contraindication for rotationplasty, even in an adolescent. Nerve coaptation allows for well-functioning rotationplasty as an alternative to endoprosthetic reconstruction or above-knee amputation.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Ósseas
/
Procedimentos de Cirurgia Plástica
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article