{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T04:52:08Z","timestamp":1791003128852,"version":"4.1.0"},"reference-count":50,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Padiatr"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background Increasing numbers of patients surviving malignant bone tumors\n                    around the knee joint have led to an increasing importance to investigate\n                    long-term results. This study assessed the long-term results of rotationplasty\n                    after resection of malignant bone tumors regarding functional outcome and\n                    quality of life to allow better comparison with other treatment options in bone\n                    cancer treatment.<\/jats:p>\n                  <jats:p>Procedure 60 participants who underwent rotationplasty due to bone cancer\n                    took part in this multicentric questionnaire-based study. The long-term\n                    functional outcome was measured by the Musculoskeletal tumor society score\n                    (MSTS) and the Tegner activity level scale. The health-related quality of life\n                    (HRQL) was assessed by using the Short Form Health Survey (SF-36).<\/jats:p>\n                  <jats:p>Results Patients treated with rotationplasty (median follow-up of 22 years,\n                    range 10\u201347 years) regained a high level of activity (median MSTS score\n                    of 24). Even a return to high level sports was possible (mean Tegner activity\n                    level scale of 4). Duration of follow-up did not influence the functional\n                    outcome. HRQL scores were comparable to the general German population. Concerns\n                    of psychological problems due to the unusual appearance of the rotated foot have\n                    not been confirmed.<\/jats:p>\n                  <jats:p>Conclusion Rotationplasty can be a good alternative to endoprosthetic\n                    replacement or amputation, either as primary surgery or as a salvage procedure.\n                    Especially for growing children and very active patients rotationplasty should\n                    be considered.<\/jats:p>","DOI":"10.1055\/a-1681-1916","type":"journal-article","created":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T19:11:31Z","timestamp":1639422691000},"page":"154-162","source":"Crossref","is-referenced-by-count":13,"title":["When Your Ankle Becomes a Knee \u2013 Long-Term Functional Outcome\n                    and Quality of Life with a Rotationplasty after Resection of Malignant Limb\n                    Tumors"],"prefix":"10.1055","volume":"234","author":[{"given":"Jennifer","family":"Gotta","sequence":"additional","affiliation":[{"name":"Department for Children and Adolescents, University Hospital Frankfurt,\n                    Goethe University, Frankfurt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Bielack","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendmedizin - P\u00e4diatrie 5,\n                    Klinikum Stuttgart - Olgahospital, Stuttgart, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie","family":"Hecker-Nolting","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendmedizin - P\u00e4diatrie 5,\n                    Klinikum Stuttgart - Olgahospital, Stuttgart, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Sorg","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendmedizin - P\u00e4diatrie 5,\n                    Klinikum Stuttgart - Olgahospital, Stuttgart, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Kevric","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendmedizin - P\u00e4diatrie 5,\n                    Klinikum Stuttgart - Olgahospital, Stuttgart, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilia","family":"Salzmann-Manrique","sequence":"additional","affiliation":[{"name":"Department for Children and Adolescents, University Hospital Frankfurt,\n                    Goethe University, Frankfurt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Klingebiel","sequence":"additional","affiliation":[{"name":"Department for Children and Adolescents, University Hospital Frankfurt,\n                    Goethe University, Frankfurt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,12,13]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1302\/0301-620X.88B6.17519","article-title":"Survivorship and clinical outcome of modular endoprosthetic reconstruction for\n                    neoplastic disease of the lower limb","volume":"88","author":"E R Ahlmann","year":"2006","journal-title":"J Bone Jt Surg - Ser B"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1097\/BPB.0b013e3280925670","article-title":"Evaluation of postoperative general quality of life for patients with\n                    osteosarcoma around the knee joint","volume":"16","author":"T Akahane","year":"2007","journal-title":"J Pediatr Orthop Part B"},{"key":"ref3","first-page":"885","volume":"88","author":"O Article","year":"2007","journal-title":"Sports Activities and Endurance Capacity of Bone\n                    Tumor"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1007\/s11999-016-4691-9","article-title":"How much clinical and functional impairment do children treated with knee\n                    rotationplasty experience in adulthood?","volume":"474","author":"M Benedetti","year":"2016","journal-title":"Clin Orthop Relat Res"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1541","DOI":"10.2106\/00004623-199072100-00018","article-title":"The Van Nes tibial rotationplasty. 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Semin Surg Oncol 1334\u201340","author":"R Kotz","year":"1997","journal-title":"Published online"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1477-7525-4-77","article-title":"The use of the SF-36 questionnaire in adult survivors of childhood cancer:\n                    Evaluation of data quality, score reliability, and scaling assumptions","volume":"4","author":"R C Reulen","year":"2006","journal-title":"Health Qual Life Outcomes"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1080\/000164702317281468","article-title":"Rotationplasty - Quality of life after 10 years in 22 patients","volume":"73","author":"R W R\u00f6dl","year":"2002","journal-title":"Acta Orthop Scand"},{"key":"ref35","first-page":"187","article-title":"Electromyographic and Gait Analysis of","author":"FP A Rotationplasty","year":"1950","journal-title":"J Bone Jt Surg. 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