J Korean Orthop Assoc.  1989 Oct;24(5):1491-1496. 10.4055/jkoa.1989.24.5.1491.

A Rotation - plasty for Focal Femoral Deficiency Due to Chronic Osteomyelitis

• Kim JM
• Lee SK
• Kim Y
• Shin JH

• KMID: 2445424
• DOI: http://doi.org/10.4055/jkoa.1989.24.5.1491

Abstract

Rotation-plasty provides useful knee function and permits use of what is essentially an end-weight-bearing below-the knee prosthesis. This principle of rotating the foot was first used by Borggreve in 1930(3), in a patient with a short femur secondary to infection. Since then, this procedure has been used in congenital short femurs(4,6,7,), malignant bone tumors of the distal femur(1,5)and compound fracture with wide bone defect around the knee(2) We have performed this procedure in a case of focal femoral deficiency with 14cm shorter than the opposite femur due to long standing persistant chronic osteomyelitis in the mid-shaft femur of a nine-year old Korean boy and gave the good result with a conventional but slightly modified below- the-knee brace. The inverted foot was good to control the brace as a below-knee stump and heel functioned as a patella to support the body weight.

Keyword

Rotation-plasty; Focal femoral deficiency; Chronic osteomyelitis; Below-the-knee brace

MeSH Terms

Body Weight
Braces
Femur
Foot
Fractures, Open
Heel
Humans
Knee
Knee Prosthesis
Male
Osteomyelitis*
Patella