Disability Physical Clinical Trial
Official title:
Long Term Clinical and Functional Outcome in Patients Operated on Van Ness-Borggreve Rotationplasty for Lower Limnb Bone Tumor
Rotationplasty is a very special surgical technique. In its most frequent variant it allows,
in the bone sarcomas of the distal femur, to remove all the thigh tissues including the knee
joint keeping intact the innervation of the leg and the foot that are transplanted proximally
after a 180 ° rotation and joined to the proximal femoral stump.
It is currently the first choice in children under the age of 6 with a bone sarcoma localized
to the distal femur but also finds indication in all age groups in cases of extremely
voluminous and extended to the entire thigh with the oncological need to remove in block
femur, knee and all the muscular involved. The objective of the study is to obtain
information about the clinical and functional status of the limb operated in long-term
surviving patients. In particular in this study the problem of the possible degenerative
pathology of the hip on the operated side will be addressed. Moreover the psychic and
psychological well-being of this population with particular reference to gender and
motherhood will be tested.
30 long term survivors of rotationplasty patients at the IOR will be welcomed by the research
team. They will be introduced to the aims of the research and the methodology and timing of
the assessment.
The two-day agenda will be communicated to perform in a coordinated manner so that each
patient performs all the exams:
- X ray pelvis
- Physiatric, orthopedic and prosthetic examination
- Proprioceptive test with Delos system
- Psychological questionnaires
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