Rotationplasty with Tibial Nerve Coaptation: A Case Report: A Case Report

Solange De Wouters; Alex Schade; Ali Etemad-Rezaie; David Nikomarov; Gregory Borschel; Sevan Hopyan

doi:10.2106/jbjs.cc.22.00272

Rotationplasty with Tibial Nerve Coaptation: A Case Report: A Case Report

Solange De Wouters
, Alex Schade
, Ali Etemad-Rezaie
, David Nikomarov
, Gregory Borschel
, Sevan Hopyan

Research output: Contribution to journal › Article › peer-review

Abstract

Case:We present the case of a 14-year-old adolescent boy with a distal femoral osteosarcoma partially encasing the tibial nerve. He underwent rotationplasty with resection and coaptation (end-to-end repair) of the tibial nerve. By 1 year postoperatively, he had recovered sensation on the plantar aspect of his foot and Medical Research Council scale 4+/5 gastro-soleus contraction that powered extension of the new knee.Conclusion:Tibial nerve resection is not an absolute contraindication for rotationplasty, even in an adolescent. Nerve coaptation allows for well-functioning rotationplasty as an alternative to endoprosthetic reconstruction or above-knee amputation.

Original language	English
Article number	e22.00272
Journal	JBJS Case Connector
Volume	13
Issue number	1
DOIs	https://doi.org/10.2106/jbjs.cc.22.00272
Publication status	Published - 28 Feb 2023

Keywords

adolescent
coaptation
pediatric
rotationplasty
sarcoma
tibial nerve

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10.2106/jbjs.cc.22.00272

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title = "Rotationplasty with Tibial Nerve Coaptation: A Case Report: A Case Report",

abstract = "Case:We present the case of a 14-year-old adolescent boy with a distal femoral osteosarcoma partially encasing the tibial nerve. He underwent rotationplasty with resection and coaptation (end-to-end repair) of the tibial nerve. By 1 year postoperatively, he had recovered sensation on the plantar aspect of his foot and Medical Research Council scale 4+/5 gastro-soleus contraction that powered extension of the new knee.Conclusion:Tibial nerve resection is not an absolute contraindication for rotationplasty, even in an adolescent. Nerve coaptation allows for well-functioning rotationplasty as an alternative to endoprosthetic reconstruction or above-knee amputation.",

keywords = "adolescent, coaptation, pediatric, rotationplasty, sarcoma, tibial nerve",

author = "\{De Wouters\}, Solange and Alex Schade and Ali Etemad-Rezaie and David Nikomarov and Gregory Borschel and Sevan Hopyan",

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doi = "10.2106/jbjs.cc.22.00272",

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T1 - Rotationplasty with Tibial Nerve Coaptation: A Case Report: A Case Report

AU - De Wouters, Solange

AU - Schade, Alex

AU - Etemad-Rezaie, Ali

AU - Nikomarov, David

AU - Borschel, Gregory

AU - Hopyan, Sevan

PY - 2023/2/28

Y1 - 2023/2/28

N2 - Case:We present the case of a 14-year-old adolescent boy with a distal femoral osteosarcoma partially encasing the tibial nerve. He underwent rotationplasty with resection and coaptation (end-to-end repair) of the tibial nerve. By 1 year postoperatively, he had recovered sensation on the plantar aspect of his foot and Medical Research Council scale 4+/5 gastro-soleus contraction that powered extension of the new knee.Conclusion:Tibial nerve resection is not an absolute contraindication for rotationplasty, even in an adolescent. Nerve coaptation allows for well-functioning rotationplasty as an alternative to endoprosthetic reconstruction or above-knee amputation.

AB - Case:We present the case of a 14-year-old adolescent boy with a distal femoral osteosarcoma partially encasing the tibial nerve. He underwent rotationplasty with resection and coaptation (end-to-end repair) of the tibial nerve. By 1 year postoperatively, he had recovered sensation on the plantar aspect of his foot and Medical Research Council scale 4+/5 gastro-soleus contraction that powered extension of the new knee.Conclusion:Tibial nerve resection is not an absolute contraindication for rotationplasty, even in an adolescent. Nerve coaptation allows for well-functioning rotationplasty as an alternative to endoprosthetic reconstruction or above-knee amputation.

KW - adolescent

KW - coaptation

KW - pediatric

KW - rotationplasty

KW - sarcoma

KW - tibial nerve

U2 - 10.2106/jbjs.cc.22.00272

DO - 10.2106/jbjs.cc.22.00272

M3 - Article

SN - 2160-3251

VL - 13

JO - JBJS Case Connector

JF - JBJS Case Connector

IS - 1

M1 - e22.00272

ER -

Rotationplasty with Tibial Nerve Coaptation: A Case Report: A Case Report

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