Limb Salvage pp 537-541 | Cite as

Adaptation of the Ankle Joint After Rotationplasty in Children

  • L. Hovy
  • L. Zichner
Conference paper


Rotationplasty according to Borggreve [1] and above-knee amputation combined with adjuvant chemotherapy can be used alternatively in certain cases of osteosarcoma of the distal femur [2, 5, 7, 8]. However, rotationplasty preserves the intact distal leg with normal mechanical function of the ankle joint, serving as a knee substitute, and normal sensitivity of the foot. This provides an approximately normal gait pattern after adaptation to the rotation of the ankle and foot and to the shortening of the leg.


Oncol Sarcoma Osteosarcoma 


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  1. 1.
    Borggreve J (1930) Kniegelenksersatz durch das in der Beinlängsachse un 180° gedrehte Fußgelenk. Arch Orthop Unfallchir 28: 175–178CrossRefGoogle Scholar
  2. 2.
    Kotz R, Salzer M (1982) Rotationplasty for childhood osteosarcoma of the distal part of the femur. J Bone Joint Surg [Am] 64: 959–969Google Scholar
  3. 3.
    Kummer P (1979) Die Biomechanik des Rückfußes. Z Orthop 117: 551–556PubMedGoogle Scholar
  4. 4.
    Kummer P (1984) Biomechanik des Vorfußes. Orthop Prax 7: 521–527Google Scholar
  5. 5.
    Salzer M et al. (1981) Treatment of osteosarcomata of the femur by rotationplasty. Arch Orthop Trauma Surg 99: 131–136PubMedCrossRefGoogle Scholar
  6. 6.
    Suppelna G, Marquardt E (1980) Die orthoprothetische Versorgung der fehlgebildeten unteren Extremitäten nach Borggreve Osteotomie. Orthop Prax 3: 191–195Google Scholar
  7. 7.
    Winkler K et al. (1986) Einfluß des loka1chirurgischen Vorgehens auf die Inzidenz von Metastasen nach neoadjuvanter Chemotherapie des Osteosarkoms. Z Orthop 124: 22–29PubMedCrossRefGoogle Scholar
  8. 8.
    Winkler K, et al. (1988) Neoadjuvant chemotherapy of osteosarcoma: results of a randomized cooperative trial (COSS-82) with salvage chemotherapy based on histological tumor response. J Clin Oncol 6: 329–337PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • L. Hovy
    • 1
  • L. Zichner
    • 2
  1. 1.Department of OrthopaedicsUniversity of Frankfurt/MFrankfurt/M. 71Germany
  2. 2.Department of OrthopaedicsHospital Frankfurt/M.-HöchstFrankfurt/M.-HöchstGermany

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