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Rotationplasty in the Elderly
Purpose. Rotationplasty has proven its efficacy in the treatment of malignant bone tumors of the lower extremity in predominantly young patients. To our knowledge this procedure has not been reported in patients over 60 years before. Materials and Methods. 3 patients over 60 years with an A1-rotatio...
Autores principales: | , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2008
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2494588/ https://www.ncbi.nlm.nih.gov/pubmed/18682817 http://dx.doi.org/10.1155/2008/402378 |
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author | Hardes, Jendrik Exner, Gerhard Ulrich Rosenbaum, Dieter Streitbuerger, Arne Gebert, Carsten Gosheger, Georg Ahrens, Helmut |
author_facet | Hardes, Jendrik Exner, Gerhard Ulrich Rosenbaum, Dieter Streitbuerger, Arne Gebert, Carsten Gosheger, Georg Ahrens, Helmut |
author_sort | Hardes, Jendrik |
collection | PubMed |
description | Purpose. Rotationplasty has proven its efficacy in the treatment of malignant bone tumors of the lower extremity in predominantly young patients. To our knowledge this procedure has not been reported in patients over 60 years before. Materials and Methods. 3 patients over 60 years with an A1-rotationplasty because of a sarcoma were included in this study. Complications and functional results were recorded. In one patient an electromyography was done. Results. Despite electromyography showing good adaptation of the muscles to the altered function, the functional results of these three patients were limited. two out of three patients needed a cane for walking distances over 200 meters. No secondary amputation was necessary. Discussion. Our study demonstrates that rotationplasty is an alternative to an above-knee amputation in older patients but with poorer functional results in comparison to younger patients. However, limb-salvage surgery should be preferred whenever possible. |
format | Text |
id | pubmed-2494588 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-24945882008-08-05 Rotationplasty in the Elderly Hardes, Jendrik Exner, Gerhard Ulrich Rosenbaum, Dieter Streitbuerger, Arne Gebert, Carsten Gosheger, Georg Ahrens, Helmut Sarcoma Case Report Purpose. Rotationplasty has proven its efficacy in the treatment of malignant bone tumors of the lower extremity in predominantly young patients. To our knowledge this procedure has not been reported in patients over 60 years before. Materials and Methods. 3 patients over 60 years with an A1-rotationplasty because of a sarcoma were included in this study. Complications and functional results were recorded. In one patient an electromyography was done. Results. Despite electromyography showing good adaptation of the muscles to the altered function, the functional results of these three patients were limited. two out of three patients needed a cane for walking distances over 200 meters. No secondary amputation was necessary. Discussion. Our study demonstrates that rotationplasty is an alternative to an above-knee amputation in older patients but with poorer functional results in comparison to younger patients. However, limb-salvage surgery should be preferred whenever possible. Hindawi Publishing Corporation 2008 2008-07-29 /pmc/articles/PMC2494588/ /pubmed/18682817 http://dx.doi.org/10.1155/2008/402378 Text en Copyright © 2008 Jendrik Hardes et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Hardes, Jendrik Exner, Gerhard Ulrich Rosenbaum, Dieter Streitbuerger, Arne Gebert, Carsten Gosheger, Georg Ahrens, Helmut Rotationplasty in the Elderly |
title | Rotationplasty in the Elderly |
title_full | Rotationplasty in the Elderly |
title_fullStr | Rotationplasty in the Elderly |
title_full_unstemmed | Rotationplasty in the Elderly |
title_short | Rotationplasty in the Elderly |
title_sort | rotationplasty in the elderly |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2494588/ https://www.ncbi.nlm.nih.gov/pubmed/18682817 http://dx.doi.org/10.1155/2008/402378 |
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