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CASE REPORT article

Front. Surg.
Sec. Surgical Oncology
Volume 11 - 2024 | doi: 10.3389/fsurg.2024.1433291

Case series: Winkelmann hip rotationplasty as a last-resort solution

Provisionally accepted
Robin Evrard Robin Evrard 1*Othmane Miri Othmane Miri 1Valérie Lacroix Valérie Lacroix 2Pierre-Louis Docquier Pierre-Louis Docquier 1Thomas Schubert Thomas Schubert 1
  • 1 Cliniques Universitaires Saint-Luc, Woluwe-Saint-Lambert, Belgium
  • 2 Department of Vascular and Thoracic Surgery, Cliniques Universitaires Saint-Luc, Woluwe-Saint-Lambert, Belgium

The final, formatted version of the article will be published soon.

    Background: Rotationplasty, an invasive surgery, serves as an alternative to amputation in pediatric orthopedic oncology. It is currently applied in broader cases (e.g., infection, trauma, or malignant tumors). Winkelmann Type BII rotationplasty is a rare procedure with limited literature. Furthermore, no description of rotationplasties where the femur is attached to the sacroiliac joint has been published to date. Methods: Between September 2022 and March 2023, three patients underwent Type BII rotationplasty. We used the Clavien-Dindo classification to describe postoperative complications and the musculoskeletal tumor society score (MSTS) for functional result assessments. Results: One patient suffered from multiple complications during the first 6 months postoperatively, one presented a single complication, and one had no complications after 4 and 3 months postoperatively, respectively. Two patients could walk pain-free with the help of crutches. One patient developed a crack on the femur, which did not require surgical revision. They all achieved satisfactory joint amplitudes of at least 50° in passive hip flexion. Unfortunately, one of the patients suffered from lung metastases. Conclusions: Winkelmann's Type BII rotationplasty is a reliable alternative to hindquarter amputation. Furthermore, we demonstrated that complete resection of the iliac wing and femur fixation through the sacroiliac joint is feasible.

    Keywords: Hip rotationplasty, Limb Salvage, Surgery, orthopedic oncology, case series

    Received: 15 May 2024; Accepted: 18 Dec 2024.

    Copyright: © 2024 Evrard, Miri, Lacroix, Docquier and Schubert. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Robin Evrard, Cliniques Universitaires Saint-Luc, Woluwe-Saint-Lambert, Belgium

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.