Systematic review finds 34% complication rate after rotationplasty

A systematic review of 26 studies comprising 746 patients who underwent oncologic rotationplasty for lower extremity sarcoma reported that 34% experienced a postoperative complication, most commonly involving the osseous construct (11%), followed by vascular (8%) and wound healing (7%) issues. The review found that 75% of osseous complications occurred within the first year and 94% of vascular complications occurred within 14 days of surgery. The authors note overall risk of bias in the included studies was moderate to poor and called for prospective multi-institutional data to better characterize factors influencing complications and reoperation.

Most relevant for: Patients and surgeons considering rotationplasty as a biologic limb reconstruction option after resection of lower extremity bone sarcoma, particularly osteosarcoma of the distal femur.

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