Vascularised and modified lower-leg rotationplasty for the treatment of severe infection and bone loss of the proximal femur

• Verfasst von: Fischer, Sebastian [VerfasserIn]
• Verfasst von: Hirche, Christoph [VerfasserIn]
• Verfasst von: Heppert, Volkmar [VerfasserIn]
• Verfasst von: Grützner, Paul Alfred [VerfasserIn]
• Verfasst von: Kneser, Ulrich [VerfasserIn]
• Verfasst von: Kremer, Thomas [VerfasserIn]
• Titel: Vascularised and modified lower-leg rotationplasty for the treatment of severe infection and bone loss of the proximal femur
• Titelzusatz: a case report
• Verf.angabe: Sebastian Fischer, Christoph Hirche, Volkmar G. Heppert, Paul A. Grützner, Ulrich Kneser, Thomas Kremer
• E-Jahr: 2017
• Jahr: September 2, 2017
• Umfang: 3 S.
• Fussnoten: Gesehen am 15.08.2019
• Titel Quelle: Enthalten in: HIP international
• Ort Quelle: Thousand Oaks, CA : Sage Publishing, 1991
• Jahr Quelle: 2017
• Band/Heft Quelle: 27(2017), 5, Seite 11-13
• ISSN Quelle: 1724-6067
• DOI: doi:10.5301/hipint.5000559
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1581163754

Abstract

Case descriptionWe report a reconstructive case in a paraplegic patient, who suffers from a severe proximal femur infection. Aiming at the preservation of the capacity to remain in a seated position to operate a wheelchair, lower leg rotationplasty was considered suitable for reconstruction. Due to severe infection and subclinical femoral artery stenosis, rotationplasty was supercharged by the inferior epigastric artery. Furthermore, extensor tendons of the foot were attached to the acetabulum to facilitate stability of the neo-hip joint.ResultsFollow-up examination 1 year after surgery revealed no complications and a satisfied patient.ConclusionsEspecially in paraplegic patients, lower leg rotationplasty is a possible treatment option for severe femoral infection. Supercharging provides well-vascularised tissue to the former infection site and improves wound healing.