Case Report: Winkelmann hip rotationplasty as a last-resort solution
BackgroundRotationplasty, an invasive surgery, serves as an alternative to amputation in pediatric orthopedic oncology. It is currently applied in broader cases (e.g., infection, trauma, or malignant tumors). Winkelmann Type BII rotationplasty is a rare procedure with limited literature. Furthermore...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1433291/full |
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| author | Robin Evrard Othmane Miri Valérie Lacroix Pierre-Louis Docquier Thomas Schubert |
| author_facet | Robin Evrard Othmane Miri Valérie Lacroix Pierre-Louis Docquier Thomas Schubert |
| author_sort | Robin Evrard |
| collection | DOAJ |
| description | BackgroundRotationplasty, an invasive surgery, serves as an alternative to amputation in pediatric orthopedic oncology. It is currently applied in broader cases (e.g., infection, trauma, or malignant tumors). Winkelmann Type BII rotationplasty is a rare procedure with limited literature. Furthermore, no description of rotationplasties where the femur is attached to the sacroiliac joint has been published to date.MethodsBetween September 2022 and March 2023, three patients underwent Type BII rotationplasty. We used the Clavien-Dindo classification to describe postoperative complications and the musculoskeletal tumor society score (MSTS) for functional result assessments.ResultsOne patient suffered from multiple complications during the first 6 months postoperatively, one presented a single complication, and one had no complications after 4 and 3 months postoperatively, respectively. Two patients could walk pain-free with the help of crutches. One patient developed a crack on the femur, which did not require surgical revision. They all achieved satisfactory joint amplitudes of at least 50° in passive hip flexion. Unfortunately, one of the patients suffered from lung metastases.ConclusionsWinkelmann's Type BII rotationplasty is a reliable alternative to hindquarter amputation. Furthermore, we demonstrated that complete resection of the iliac wing and femur fixation through the sacroiliac joint is feasible. |
| format | Article |
| id | doaj-art-1aa696d440f243b58e46e011d4a0689d |
| institution | Kabale University |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-1aa696d440f243b58e46e011d4a0689d2025-01-07T06:41:01ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-01-011110.3389/fsurg.2024.14332911433291Case Report: Winkelmann hip rotationplasty as a last-resort solutionRobin Evrard0Othmane Miri1Valérie Lacroix2Pierre-Louis Docquier3Thomas Schubert4Service de Chirurgie Orthopédique et Traumatologique, Cliniques Universitaires Saint-Luc, Bruxelles, BelgiqueService de Chirurgie Orthopédique et Traumatologique, Cliniques Universitaires Saint-Luc, Bruxelles, BelgiqueService de Chirurgie Vasculaire et Thoracique, Cliniques Universitaires Saint-Luc, Bruxelles, BelgiqueService de Chirurgie Orthopédique et Traumatologique, Cliniques Universitaires Saint-Luc, Bruxelles, BelgiqueService de Chirurgie Orthopédique et Traumatologique, Cliniques Universitaires Saint-Luc, Bruxelles, BelgiqueBackgroundRotationplasty, an invasive surgery, serves as an alternative to amputation in pediatric orthopedic oncology. It is currently applied in broader cases (e.g., infection, trauma, or malignant tumors). Winkelmann Type BII rotationplasty is a rare procedure with limited literature. Furthermore, no description of rotationplasties where the femur is attached to the sacroiliac joint has been published to date.MethodsBetween September 2022 and March 2023, three patients underwent Type BII rotationplasty. We used the Clavien-Dindo classification to describe postoperative complications and the musculoskeletal tumor society score (MSTS) for functional result assessments.ResultsOne patient suffered from multiple complications during the first 6 months postoperatively, one presented a single complication, and one had no complications after 4 and 3 months postoperatively, respectively. Two patients could walk pain-free with the help of crutches. One patient developed a crack on the femur, which did not require surgical revision. They all achieved satisfactory joint amplitudes of at least 50° in passive hip flexion. Unfortunately, one of the patients suffered from lung metastases.ConclusionsWinkelmann's Type BII rotationplasty is a reliable alternative to hindquarter amputation. Furthermore, we demonstrated that complete resection of the iliac wing and femur fixation through the sacroiliac joint is feasible.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1433291/fullhip rotationplastylimb salvagesurgeryorthopedic oncologycase series |
| spellingShingle | Robin Evrard Othmane Miri Valérie Lacroix Pierre-Louis Docquier Thomas Schubert Case Report: Winkelmann hip rotationplasty as a last-resort solution Frontiers in Surgery hip rotationplasty limb salvage surgery orthopedic oncology case series |
| title | Case Report: Winkelmann hip rotationplasty as a last-resort solution |
| title_full | Case Report: Winkelmann hip rotationplasty as a last-resort solution |
| title_fullStr | Case Report: Winkelmann hip rotationplasty as a last-resort solution |
| title_full_unstemmed | Case Report: Winkelmann hip rotationplasty as a last-resort solution |
| title_short | Case Report: Winkelmann hip rotationplasty as a last-resort solution |
| title_sort | case report winkelmann hip rotationplasty as a last resort solution |
| topic | hip rotationplasty limb salvage surgery orthopedic oncology case series |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1433291/full |
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