Prosthetic management 56 years after rotationplasty due to proximal femoral focal deficiency (PFFD)
N. Roux,S. Pieters +1 more
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TLDR
A 68-year-old woman with PFFD of the right leg and rotationplasty at the age of 12 years has a good prosthetic fitting and a satisfying level of functioning after a fall following a fall.Abstract:
Proximal femoral focal deficiency (PFFD) is a rare congenital anomaly of the femur. Rotationplasty has been described as a reconstructive procedure in the management of PFFD. A 68-year-old woman with PFFD of the right leg and rotationplasty at the age of 12 years had prosthetic fitting problems after a fall. The authors describe the analysis of the prosthetic fitting problems and the considerations made in prosthetic management. Following a fall, 56 years after rotationplasty, this woman has a good prosthetic fitting and a satisfying level of functioning.read more
Citations
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Journal ArticleDOI
Amputation and rotationplasty in children with limb deficiencies: current concepts
TL;DR: An experienced multidisciplinary team for children with complex limb deficiencies should guide the patient and parents in the decision-making between the different options without or with prosthesis.
Journal ArticleDOI
Eighteen-year follow-up after rotationplasty for a grade IIIC open fracture of the distal femur
TL;DR: It is emphasized that rotationplasty can be a good alternative to arthrodesis or amputation in trauma patients providing high satisfaction and activity levels in the long-term follow-up.
Dissertation
Muscle bilateral electromyographical activity in unilateral transfemoral amputees a case study
Journal ArticleDOI
Rotationplasty as a salvage of failed primary limb reconstruction: up to date review and case report.
TL;DR: Although the outcome of rotationplasty is visually unusual, for some children restored function and physical capabilities outweigh cosmetic concerns, and the patient was able to walk with the prosthesis in a few months after index surgery.
References
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Journal ArticleDOI
Classification and management of congenital abnormalities of the femur
R Gillespie,IP Torode +1 more
TL;DR: Two groups were defined: those with congenital hypoplastic femur in which the hip and knee could be made functional and where, in some patients at least, leg equalisation was possible and those with true proximal focal femoral deficiency where the hip joint was never normal and the knee joint was always useless.
Journal ArticleDOI
Talocalcaneal coalition in patients who have fibular hemimelia or proximal femoral focal deficiency. A comparison of the radiographic and pathological findings.
D P Grogan,G R Holt,J A Ogden +2 more
TL;DR: Findings should be useful in the evaluation of the radiographic anatomy of the feet in children who have proximal femoral focal deficiency or fibular hemimelia, or both, particularly if limb-lengthening is considered as a treatment option.
Journal ArticleDOI
Van Nes rotational osteotomy for treatment of proximal femoral focal deficiency and congenital short femur.
TL;DR: Assessment of Van Nes rotational osteotomies for unilateral proximal femoral focal deficiency and congenital short femur found Appropriate leg-length discrepancy to place the ankle, converted to the knee, at the right level are prerequisites to the procedure.
Journal ArticleDOI
Proximal femoral focal deficiency: results of rotationplasty and Syme amputation.
TL;DR: Rotationplasty was associated with a more energy-efficient gait and Syme amputation resulted in a net oxygen utilization per distance that was less than the values reported after amputations performed for non-congenital disorders.
Book ChapterDOI
Tibial rotation-plasty for proximal femoral focal deficiency.
TL;DR: The most common treatment for proximal femoral focal deficiency is amputation at the level of the ankle joint and subsequent prosthetic fitting in the manner used for an above-the-knee amputee.