Rotationplasty is a surgical procedure that removes the limb below the knee and surgically rotates the remaining lower leg and foot 180 degrees. This is done for patients with bone cancers in the lower femur or congenital limb deformities. After rotation, the ankle acts as the new knee joint and allows movement through the use of a prosthetic leg. The procedure takes 6-10 hours to complete and involves pre-fitting of the prosthetic and casting of the rotated limb for attachment. The patient then stays in the hospital to practice with the new prosthetic and allow bone healing.

1. Rotationplasty

2. ROTATIONPLASTY
▪ It isa surgical procedure that
removethe limb(end of the
femur,the knee, and the starting
of tibia ) withnormal area to
maintain CLEARMARGIN,
leaving the blood vessels and
nerve cells
▪ Afterthe removal -portion of
limb,the lower part of the leg
withfoot(ankle)is surgically
rotated 180

3. Thisprocedure mainlydone to the
patient with -
Malignanttumors in distalfemur,
Osteosarcoma, Ewing’s
sarcoma Congenitallimb deformitieslike
Proximal Focal Femur Deficiency (PFFD)
It involvesbiomechanics,
❖ Our knee will not bend forward, it
moves backwards to provide
movement for legs.
❖ In this surgical procedure, Ankle act
as knee to the prosthetic leg.

4. • This surgical procedure takes 6-10 hoursto complete.
• Pre-fitting measurements include prosthetic creation that fits to the patient
femur
• Casting of limb foot and attachments
• After the complete procedure child is usuallystayed in hospitalto get practiced
with new prosthetic leg and to get proper bone healing.
• It can be removed and fixed at ant time and easy flexible.
Rotationplastywasfirst performed by Borggreve in 1927.[2] He performed the
procedure on a 12-year-old boy who suffered from tuberculosis

5. Take time to praise your body wellness that
nature gave you !!!