Abstract
A 7 year old female born with proximal focal femoral deficiency (PPFD) underwent femoral rotation/adduction osteotomy and circular external fixation to revise unsuccessful femoro-pelvic fusion rotationplasty and subsequent rotation osteotomies. Due to high risk of neurovascular complications, intraoperative somatosensory evoked potential (SSEP) monitoring of tibial and peroneal nerves was utilized to control safety of acute repositioning of the lower limb during surgery.
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References and Suggested Reading
Brown KL (2001) Resection, rotationplasty, and femoropelvic arthrodesis in severe congenital femoral deficiency. A report of the surgical technique and three cases. J Bone Joint Surg Am 83-A:78–85
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Makarov MR, Samchukov ML, Birch JG, Johnston CE, Delgado MR, Rampy PL, Van Allen EM (2003) Acute deformity correction of lower extremities under SSEP-monitoring control. J Pediatr Orthop 23:470–477
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© 2015 Springer International Publishing Switzerland
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Makarov, M., Johnston, C.E., Samchukov, M. (2015). Case 59: Intraoperative SSEP Monitoring of Circular External Fixation for Revision of Brown Rotationplasty. In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-18023-6_93
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DOI: https://doi.org/10.1007/978-3-319-18023-6_93
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18022-9
Online ISBN: 978-3-319-18023-6
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