{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T08:05:48Z","timestamp":1790928348193,"version":"4.1.0"},"reference-count":61,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:00:00Z","timestamp":1784419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:00:00Z","timestamp":1784419200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Rotationplasty is a functionally robust limb\u2010salvage procedure for paediatric lower\u2010limb sarcoma patients, in which the ankle assumes the functional role of the knee within a prosthesis. Despite favourable long\u2010term outcomes, the procedure is infrequently performed, and systematic evaluation of the surgical and perioperative factors influencing its success remains limited. This narrative review aimed to: (1) identify the surgical and perioperative factors that influence complications and functional outcomes, including rotationplasty type, incision design, vascular management, nerve preservation, and fixation method; (2) characterise the scope of outcome reporting across functional, psychosocial, and oncologic domains; and (3) define gaps to inform future rotationplasty research and decision\u2010making. Fifty\u2010eight studies were identified, falling into two distinct streams. The first (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200914) examined specific surgical or perioperative factors, including rotationplasty type, incision design, vascular management, nerve preservation, and fixation methods, each associated with distinct complication profiles. The second (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200944) provided broader outcome data, describing rotationplasty without analysing specific intraoperative variables, often in comparison to other procedures. These papers provided a scope of significant outcomes across literature, including vascular compromise, wound healing, and nerve palsy. Long\u2010term functional, psychosocial, and quality of life findings were shown to be overall favourable, often surpassing results following amputation or endoprosthetic reconstruction. The evidence base is constrained by retrospective designs, small sample sizes, mixed\u2010age cohorts, and inconsistent outcome reporting, limiting technique\u2010specific conclusions. Prospective, age\u2010stratified studies with standardised perioperative, functional, and psychosocial outcome measures are needed to better define the relationship between surgical technique and outcome in paediatric rotationplasty.\n                  <\/jats:p>","DOI":"10.1111\/ans.70842","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T03:06:18Z","timestamp":1784516778000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors Affecting Surgical Outcomes Following Rotationplasty in Paediatric Sarcoma: A Literature Review"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0062-8942","authenticated-orcid":false,"given":"Rachel H.","family":"Ko","sequence":"first","affiliation":[{"name":"University of Melbourne, Melbourne Medical School  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stewart","family":"Morrison","sequence":"additional","affiliation":[{"name":"University of Melbourne, Melbourne Medical School  Parkville Australia"},{"name":"The Royal Children's Hospital  Parkville Australia"},{"name":"Murdoch Children's Research Institute  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J.","family":"Wilks","sequence":"additional","affiliation":[{"name":"University of Melbourne, Melbourne Medical School  Parkville Australia"},{"name":"The Royal Children's Hospital  Parkville Australia"},{"name":"Murdoch Children's Research Institute  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02581614"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.32B1.12"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00415986"},{"key":"e_1_2_7_5_1","doi-asserted-by":"crossref","first-page":"1365","DOI":"10.2106\/00004623-199173090-00012","article-title":"Rotationplasty for Limb Salvage in the Treatment of Malignant Tumors at the Knee A FoLLow\u2010Up Study of Seventy Patients","volume":"73","author":"Gottsauner\u2010Wolf F.","year":"1991","journal-title":"Journal of Bone and Joint Surgery"},{"key":"e_1_2_7_6_1","doi-asserted-by":"crossref","unstructured":"M.HanlonandJ. 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