Long Term Clinical and Functional Outcome in Rotationplasty Patients

Istituto Ortopedico Rizzoli30 enrolled

Overview

Rotationplasty is a very special surgical technique. In its most frequent variant it allows, in the bone sarcomas of the distal femur, to remove all the thigh tissues including the knee joint keeping intact the innervation of the leg and the foot that are transplanted proximally after a 180 ° rotation and joined to the proximal femoral stump. It is currently the first choice in children under the age of 6 with a bone sarcoma localized to the distal femur but also finds indication in all age groups in cases of extremely voluminous and extended to the entire thigh with the oncological need to remove in block femur, knee and all the muscular involved. The objective of the study is to obtain information about the clinical and functional status of the limb operated in long-term surviving patients. In particular in this study the problem of the possible degenerative pathology of the hip on the operated side will be addressed. Moreover the psychic and psychological well-being of this population with particular reference to gender and motherhood will be tested.

30 long term survivors of rotationplasty patients at the IOR will be welcomed by the research team. They will be introduced to the aims of the research and the methodology and timing of the assessment. The two-day agenda will be communicated to perform in a coordinated manner so that each patient performs all the exams: * X ray pelvis * Physiatric, orthopedic and prosthetic examination * Proprioceptive test with Delos system * Psychological questionnaires

Study Type

OBSERVATIONAL

Enrollment

Conditions

Disability Physical Psychological Adaptation

Interventions