Rotational shaping in the treatment of bone cancer

Currently there are several surgical methods that can be used in the treatment of bone cancer such as amputation, limb-conserving surgery, and rotator cuff surgery. Rotating arthroplasty is often used in children, as young bones continue to grow over time. This is a complex procedure that requires experienced and highly qualified operators.

Bone cancer is a rare type of cancer. There are about 750-900 new cases diagnosed each year in the United States. Bone cancer is the most common cancer in children and adolescents. It affects the bones of the legs and arms. Treatment for bone cancer is a complex multimodal therapy that may require a combination of surgery, radiation, and chemotherapy. Specific therapy depends on the size, location of the tumor, the extent of the tumor, and whether there is metastasis. The goal of surgery in the treatment of bone cancer is to remove all of the cancer cells and limit the impact on other areas. There are different types of bone cancer surgery. The type of surgery will depend on the location of the cancer and how far it has spread. Rotating arthroplasty is a procedure that can be used to treat bone cancer in the knee or knee joint. The lower part of the femur (the long bone in the thigh), the knee, and the upper tibia (the bone below the knee) are surgically removed. The lower leg is then rotated or rotated 180 degrees (back facing), that's why it's called the swing method.
Rotational arthroplasty is often used in children under 12 years of age, as the bones will continue to grow. This is a good option for children who are still growing. Young children are also better able to learn and adapt to new ankle function. Some older children or adults can also have rotator cuff surgery. This procedure can be used for people who need an amputation above the knee due to the size of the tumor. It is important in rotator cuff surgery that nerves can be preserved as they are essential for ankle/foot function.

Rotational plastic surgery is a complicated procedure, requiring the operator to have a lot of experience and a high level of expertise. During rotator cuff surgery, part of the leg and femur that contains the tumor is removed. The doctor may also cut some extra healthy bone to make sure the cancer cells are clear. The bones that are removed usually include some of the lower part of the femur, the knee joint, and some of the upper part of the lower leg (tibia). The doctor will then perform an osteotomy by rotating the lower part of the leg (including the foot and ankle) backward 180 degrees to create a new “knee joint” and attach it to the thigh. The attached ankle joint will act like a new knee. The doctor will use prostheses for the lower leg and foot. The results usually help the patient perform very well in exercise, sports and daily activities.

Compared with other types of surgery, rotator cuff surgery has many advantages. However, not everyone is suitable for this type of surgery. Children will continue to grow into adulthood. So one benefit of this type of procedure is that the bone will continue to grow over time. This makes it easier for the patient to be physically active. Prostheses used with rotational prosthesis are fitted and changed as the patient grows. Alternatives to rotator cuff surgery include prosthetic knee implant surgery and amputation. These types of surgery limit the patient's activity and strenuous sports activities. If children need a prosthetic knee implant, they often have to undergo more surgeries in the future as they get older. Many children with rotator cuff surgery can still move normally, participate in physical activities such as football, basketball, running, skiing, cycling,...
In addition, plastic surgery Rotation also maintains the function of nerves and blood vessels. Therefore, "phantom" limb pain (pain after amputation) is not a side effect of this type of surgery. In order for the patient to have this surgery, the sciatic nerve and other vital nerves in the lower leg must be intact and functional.

Like any surgical procedure there are risks and side effects to rotator cuff surgery. This is a highly specialized procedure and is not performed very often. It is important to have surgery in a specialist center with extensive experience. The risks and side effects of rotator cuff surgery may depend on the procedure, as some patients may need more extensive vascular reconstruction. Risks the patient may face during this procedure include:
Reactions to anesthetics . Anesthesia is a medicine used to help you sleep during surgery and to control pain. Reactions to anesthesia can include wheezing, rash, swelling, and low blood pressure. Bleeding Forms a blood clot. Infection Slow-healing wound Nerve damage or problems with blood flow to the transplanted leg. Poor bone fusion leads to more surgery.

Recovery from rotator cuff surgery will require a hospital stay, usually up to a week. Most patients will be sent home in a cast. The length of the cast will depend on how fast the bone heals. If the patient is receiving chemotherapy, recovery may take longer. Once the bone and wound have healed, the patient can be fitted with a prosthetic leg. During this time, the patient may need crutches or a wheelchair to get around.
Physical therapy is an important part of recovery from rotator cuff surgery. This therapy helps the patient learn how to use the ankle joint like a knee joint, how to walk with the new leg, and how to put on/adjust the prosthesis. This process takes some time and effort from both the patient and the family. The duration of treatment may vary from patient to patient. Especially as children get older, they will need a new prosthesis and therefore may need a brief period of physical therapy when a new prosthesis is fitted.
In summary, rotator cuff surgery is an option for patients with bony tumors of the leg, especially younger patients. Like other types of surgery, rotator cuff surgery also has some risks such as bleeding, infection, blood clots, etc. It is important for patients to stay optimistic and maintain a healthy lifestyle. strong and try to practice physical therapy to recover quickly.
Vinmec International General Hospital is the first hospital in Vietnam equipped with the Hybrid Discovery IGS 730 room (by GE Healthcare - USA) to ensure the implementation of difficult and complex techniques. This is the most modern operating room system in the world today, integrating operating room and advanced imaging equipment (angiography machine, tomography machine, magnetic resonance imaging machine, digital angiogram machine). background removal...) The combination of diagnostic imaging equipment right in the operating room will help avoid the need to transport patients to different imaging areas in the hospital. Patients are diagnosed and operated right in the operating room, the quality of the surgery will be best guaranteed, saving time, enhancing patient safety, especially preventing infection, helping patients recover faster.