Tibial-hindfoot turn-up plasty following proximal femur and periacetabular resection for unplanned sarcoma resection: A case report

Various reconstruction options are available following femoral resection for malignancies or complex cases with femoral involvement. Tibia-hindfoot osteomusculocutaneous rotationplasty, a rare reconstruction alternative introduced by Peterson in 1997, is a modification of the original technique of total tibial turn up proposed by Sauerbruch in 1922. However, data on the outcomes of this procedure are lacking. A 50-year-old male patient with a 15-year history of right hip pain underwent unplanned resection, followed by total hip arthroplasty for clear cell chondrosarcoma of the femoral head and neck, with tibial-hindfoot turn-up plasty subsequently performed as a salvage procedure. Thirty-two months postoperatively, he was ambulatory with a prosthetic leg and a single crutch. Benefits of tibial-hindfoot turn-up plasty include a longer stump for better prosthesis fitting, and better functional outcomes than hemipelvectomy. Furthermore, unlike a tumor prosthesis, revision is unlikely, and compared with rotationoplasty, this results in better cosmesis and fewer vascular complications.