Article

The objectives of this study were to describe the authors' experience
with the timeline for prosthetic fitting after rotationplasty of the knee and to
determine factors that may be associated with earlier prosthetic fitting. DESIGN: The authors conducted a retrospective observational study of 12 patients who
underwent rotationplasty of the knee and received prosthetic care at this
institution. All patients had oncologic causes for surgery.
RESULTS: The median
age at amputation was 10 yrs. The overall survival rate was 92%. Five patients
received a preliminary bypass prosthesis. All 12 patients were successfully
fitted with a definitive prosthesis. Three patients were fitted within 90 days;
two of these three patients did not require chemotherapy. The median time for
definitive prosthetic fitting in the ten patients requiring chemotherapy was
230.5 days (range, 85-425 days). Nine patients had documentation supporting a
return to sport/premorbid physical recreational activities. CONCLUSIONS: In the
authors' experience, chemotherapy was associated with delayed definitive
prosthetic fitting. Typically, the patients who required rotationplasty for cancer completed fitting with a definitive prosthesis in 6 mos. The findings of
this study validate previous reports and confirm that most rotationplasty
patients have excellent outcomes with return to premorbid physical activities.
- Amputation

Langue : ANGLAIS