Microvascular hip rotationplasty in a severe femoral radionecrosis

• Main Authors: Pedro C. Cavadas, Nitzan Kenig, Magdalena Bakliñska
• Format: Article
• Language: English
• Published: Elsevier 2020-12-01
• Series: Orthoplastic Surgery
• Subjects: Rotationplasty; Microsurgery; Van Nes; Borggreve; Microvascular hip rotationplasty
• Online Access: http://www.sciencedirect.com/science/article/pii/S2666769X20300051

The overall prognosis of soft-tissue sarcomas of the extremities has improved with recent advances in medical, radiation and surgical treatments. An increasing number of patients are adult long-term survivors that may suffer the sequelae of radiation therapy during childhood, particularly radiation-induced bone growth arrest and osteonecrosis with complex nonunions.The orthoplastic approach, meaning the combination of skeletal and soft-tissue advanced reconstructive techniques as an integrated comprehensive treatment scheme, has proved particularly useful in these complex cases.A case of severe radiation–induced femoral hypoplasia with radiation necrosis and nonunion of the proximal femur and hip joint in a young patient treated with a microvascular rotationplasty is described herein.