About Rotationplasty Thigh
Key Highlights
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Limb Salvage: Preserves the patient's own living limb rather than performing a standard above-knee amputation.Superior Function: The rotated ankle acts as a biological knee joint, providing excellent control and mobility with a prosthetic limb.Prosthetic Advantage: Allows for the use of a lighter, more functional below-knee type prosthesis instead of a bulkier above-knee device.listrongPreserved Sensation:/strong Maintains the nerve supply to the foot, offering sensory feedback from the prosthesis./lilistrongImproved Gait:/strong Often results in a more natural walking pattern and greater energy efficiency compared to higher-level amputations./li/ul
Who is this surgery for?
- Primary treatment for malignant bone tumors in the distal femur or proximal tibia (e.g., osteosarcoma, Ewing's sarcoma) where limb salvage is a goal.
- Severe congenital limb deficiencies or deformities where traditional reconstruction is not feasible.
- Traumatic loss of the knee joint with extensive damage to surrounding tissues.
- Failed prior limb salvage surgeries or massive bone allografts.
- Typically considered for skeletally immature patients (children and adolescents) as it preserves growth plates in the salvaged limb segment.
How to prepare
- Multidisciplinary Evaluation: Thorough assessment by a team including pediatric oncologists, orthopedic surgeons, radiologists, and physiotherapists.
- Imaging: Detailed MRI and CT scans to precisely map the tumor extent and plan the surgical margins.
- Neoadjuvant Therapy: Completion of a course of chemotherapy to shrink the tumor before surgery.
- Psychological Counseling: Preparing the child and family for the anatomical change and the rehabilitation journey ahead.
- Pre-operative Physiotherapy: Strengthening exercises for the upper body, core, and unaffected limb.
- Medical Clearance: Standard pre-surgical tests to ensure fitness for a major operation.
Risks & possible complications
- Surgical Risks: Bleeding, infection, and adverse reactions to anesthesia.
- Vascular Compromise: Damage to blood vessels, potentially leading to poor healing or loss of the limb segment.
- Nerve Injury: Potential damage to the sciatic or peroneal nerve, affecting foot movement and sensation.
- Non-union or Malunion: Failure of the reattached bones to heal properly or healing in an incorrect position.
- Prosthetic Issues: Challenges with prosthetic fitting, socket discomfort, or skin breakdown.
- Psychological Adjustment: Difficulty adapting to the altered limb appearance and function.
- Local Tumor Recurrence: Risk of the cancer returning in the surgical area.
Recovery & hospital stay
- Hospital Stay: Initial recovery in the hospital involves pain management, monitoring circulation, and preventing infection.
- Immobilization: The limb is placed in a cast or brace for several weeks to protect the surgical site and bone union.
- Early Rehabilitation: Gentle physiotherapy begins soon after surgery to maintain joint mobility in the hip and ankle.
- Prosthetic Fitting: Once healing is adequate (often several months post-op), the process of casting and fitting for a custom prosthesis begins.
- Gait Training: Intensive physiotherapy focuses on learning to walk and function with the new limb and prosthesis.
- Long-term Follow-up: Regular oncology check-ups for cancer surveillance and orthopedic assessments for limb function and prosthetic adjustments.
- Continued Therapy: Ongoing physical and occupational therapy to maximize strength, mobility, and participation in activities.
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Typical hospital stay: 10-14 days
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Expected recovery time: 12-18 months for full functional recovery and prosthetic adaptation
Frequently Asked Questions
If you are considering rotationplasty thigh in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with pediatric orthopedics departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform rotationplasty thigh. MediFyr helps you compare pediatric orthopedics and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for rotationplasty thigh compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 500 Thousand – 1.5 Million | 10-14 days | ~ 12-18 months for full functional recovery and prosthetic adaptation | Know More |
| Turkey | TRY 1.75 Million – 5.25 Million | 10-14 days | ~ 12-18 months for full functional recovery and prosthetic adaptation | Know More |
Saanvi Malhotra, a vibrant 10-year-old from...
Saanvi Malhotra, a vibrant 10-year-old from Mumbai, was a passionate aspiring dancer. Her world shifted when persistent knee pain was diagnosed as osteosarcoma in her distal femur. After initial chemotherapy, the tumor's location made a standard limb-sparing surgery impossible. Her pediatric orthopedic oncologist, Dr. Mehta, recommended a rotationplasty. He explained it wasn't an amputation but a reconstruction: removing the cancerous knee and rotating the lower leg 180 degrees, so her ankle would function as a new knee joint. Saanvi and her family were terrified, mourning the loss of her 'normal' leg. The surgery was complex but successful. After a challenging year of rehabilitation, Saanvi learned to use a prosthetic leg attached to her rotated foot. The outcome was remarkable. With her ankle acting as a knee, she gained a highly functional, active limb. She can run, jump, and, most importantly to her, dance again with a specialized prosthetic. Emotionally, she journeyed from grief and anger over her changed body to immense pride in her resilience and 'bionic' abilities, calling her prosthetic her 'power leg.'
Pediatric Orthopedics for Rotationplasty Thigh
Explore experienced pediatric orthopedics who regularly perform rotationplasty thigh and provide pre- and post-operative care in India.
- 14 Years Experience
- Pediatric Orthopedics
Manipal Hospital Ghaziabad, Ghaziabad
- 23 Years Experience
- Pediatric Orthopedics
Manipal Hospital Old Airport Road, Bangalore
- 8 Years Experience
- Pediatric Orthopedics
Manipal Hospital Mukundapur, Kolkata