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Other namesVan Nes rotation

Rotationplasty is a type of autograft wherein a portion of a limb is removed, while the remaining limb below the involved portion is rotated and reattached. This procedure is used when a portion of an extremity is injured or involved with a disease, such as cancer.[1]

The procedure is most commonly used to transfer the ankle joint to the knee joint following resection of a distal femoral bone tumor, such as osteosarcoma. The limb is rotated because the ankle flexes in the opposite direction compared to the knee. The benefit to the patient is that they have a functioning knee joint and can run and jump.

The operation is also called a Van Nes rotation,[2] in honor of its inventor, Dutch orthopedist Cornelis Pieter van Nes (1897-1972).[3]


  1. ^ Agarwal M, Puri A, Anchan C, Shah M, Jambhekar N (2007). "Rotationplasty for bone tumors: is there still a role?". Clin. Orthop. Relat. Res. 459: 76–81. doi:10.1097/BLO.0b013e31805470f0. PMID 17414168.
  2. ^ Banaś B, Kowalczyk B (2006). "[A strategy of rehabilitation in children with proximal femoral focal deficiency treated with modified Van Nes rotationplasty]". Chirurgia narzadów ruchu i ortopedia polska (in Polish). 71 (4): 313–5. PMID 17455533.
  3. ^ ROTATION-PLASTY FOR CONGENITAL DEFECTS OF THE FEMUR, by C. P. van Nes, in the Journal of Bone and Joint Surgery; Volume 32-B, Issue 1 / February 1950

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