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Sarcoma
Volume 2008, Article ID 402378, 4 pages
http://dx.doi.org/10.1155/2008/402378
Case Report

Rotationplasty in the Elderly

1Department of Orthopaedics, Westfälische Wilhelms University Münster, Albert Schweitzer strasse 33, 48149 Münster, Germany
2Balgrist Hospital, University of Zurich, 8006 Zurich, Switzerland
3Movement Analysis Laboratory, Department of Orthopaedics, Westfälische Wilhelms University Münster, Domagkstrasse 3, 48129 Münster, Germany

Received 31 March 2008; Revised 13 May 2008; Accepted 8 July 2008

Academic Editor: Ajay Puri

Copyright © 2008 Jendrik Hardes et al. 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.

Abstract

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.