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50. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 24. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC)

26.09. - 28.09.2019, Hamburg

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A novel indication for indocyanine green (ICG): Intraoperative monitoring of limb and sciatic nerve perfusion during rotationplasty for sarcoma patients

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  • presenting/speaker Thiha Aung - Caritas-Krankenhaus St. Josef, Regensburg

Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen. Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen. 50. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 24. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC). Hamburg, 26.-28.09.2019. Düsseldorf: German Medical Science GMS Publishing House; 2019. Doc084

doi: 10.3205/19dgpraec084, urn:nbn:de:0183-19dgpraec0845

Published: September 24, 2019

© 2019 Aung.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Rotationplasty is a limb-salvage surgery which has been used as an alternative to above-knee amputation in limb malignancies. This operation was first described in 1930 by Borggreve. Demel and Gold (1932) and van Nees (1950) reported about the use of this technique for the surgical treatment of congenital femoral dysplasia. More recently, by means of new diagnostic and therapeutic techniques, limb salvage procedures have also become possible in cases of malignant bone tumors. In 1976, Salzer was the first surgeon who published this method for operative treatment of osteosar comas of the knee region. In contrast to a thigh amputation, where an upper leg prosthesis becomes necessary, with a rotationplasty only a lower leg prosthesis will be needed while preserving an actively mobile knee joint. Further advantages include the preservation of the highly sensitive plantar surface and the possibility of further growth due to preservation of growth plates of the distal tibia in children, which can be used for length compensation.