Radical Reconstructive Rotationplasty Treatment for Paediatric Femoral Osteosarcoma: Case Report Series from Single Centre Experience, 2018–2020

  • Marisa Berezovska (Speaker)
  • Ozols, D. (Co-author)
  • Aleksandrs Mikitins (Co-author)
  • Arturs Viksne (Co-author)
  • Girts Salmins (Co-author)
  • Uldis Bergmanis (Co-author)

Activity: Talk or presentation types › Poster presentation

Description

Introduction: Osteosarcoma is the primary skeletal sarcoma (30-80%) with a high malignancy risk (15-20% of all cases), and an average incidence of 10-30 years of age.1,2,3 This report evaluates the surgical innovative technique of rotationplasty in the treatment of pediatric femoral osteosarcoma in Riga, Latvia.. Cases: Nr.1: A 13-year-old girl presented with distal femur osteosarcoma that had metastasized to the proximal femur. Limb sparing radical treatment was warranted and consisted of tumor extirpation with complete femur and thigh anterior muscle group resection, Chopart amputation, crural rotationplasty, and neo articulatio coxae formation utilizing the calcaneus and acetabulum. The limb is supplied by n.tibialis and n.peroneus and within a month, the patient could perform calf muscle controlled movements – abduction, adduction, extension, and contralateral flexion. Nr.2: A 12-year-old girl developed osteoblastic osteosarcoma in the distal femur. Van Nes rotationplasty was utilized and consisted of block tumor resection with the musculocutaneus tissues and a 10cm border. A. et v. poplitea, n.tibialis, and n.peroneus were all dissected and preserved. To assure proper length with the opposite leg, the fibular head and five centimeters of the proximal tibia were resected. The talocrural joint is rotated 180 degrees and aligned with the opposite leg’s knee joint. Tibial and femoral osteosynthesis was realized with a locking plate. . The patients both were treated with chemotherapy, pulmonary metastasectomies, and physiotherapy. Both patients were able to perform all movements without limitations of their new upper lower limbs and utilize prosthetic lower legs.. 1. Limb sparing rotationplasty technique avoids total amputation, ensures the patient’s ability to ambulate with two limbs, and provides the patients with better quality of life as the necessity for crutches or wheelchair assistance is reduced. 2. Riga’s Children’s Clinical University Hospital provides progressive and innovative medical treatments that tangibly manifests in the better wellbeing of the patients.
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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