{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T14:47:43Z","timestamp":1781016463294,"version":"3.54.1"},"reference-count":29,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"2","license":[{"start":{"date-parts":[[2013,2,1]],"date-time":"2013-02-01T00:00:00Z","timestamp":1359676800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:p>Van Nes rotationplasty may be used for patients with congenital proximal focal femoral deficiency (PFFD). The lower limb is rotated to use the ankle and foot as a functional knee joint within a prosthesis. A small series of cases was investigated to determine the long-term outcome. At a mean of 21.5 years (11 to 45) after their rotationplasty, a total of 12\u00a0prosthetic patients completed the Short-Form (SF)-36, Faces Pain Scale-Revised, Harris hip score, Oswestry back pain score and Prosthetic Evaluation Questionnaires, as did 12\u00a0age- and gender-matched normal control participants. A physical examination and gait analysis, computerised dynamic posturography (CDP), and timed \u2018Up &amp; Go\u2019 testing was also completed. Wilcoxon Signed rank test was used to compare each PFFD patient with a matched control participant with false discovery rate of 5%.<\/jats:p><jats:p>There were no differences between the groups in overall health and well-being on the SF-36. Significant differences were seen in gait parameters in the PFFD group. Using CDP, the PFFD group had reduced symmetry in stance, and reduced end point and maximum excursions.<\/jats:p><jats:p>Patients who had undergone Van Nes rotationplasty had a high level of function and quality of life at long-term follow-up, but presented with significant differences in gait and posture compared with the control group.<\/jats:p><jats:p>Cite this article: Bone Joint J 2013;95-B:192\u20138.<\/jats:p>","DOI":"10.1302\/0301-620x.95b2.30853","type":"journal-article","created":{"date-parts":[[2013,1,30]],"date-time":"2013-01-30T17:18:30Z","timestamp":1359566310000},"page":"192-198","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":53,"title":["Long-term follow-up of Van Nes rotationplasty in patients with congenital proximal focal femoral deficiency"],"prefix":"10.1302","volume":"95-B","author":[{"given":"J.","family":"Ackman","sequence":"first","affiliation":[{"name":"Shriners Hospitals for Children, 2211 N. Oak Park Ave, Chicago, Illinois 60707, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Altiok","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children, 2211 N. Oak Park Ave, Chicago, Illinois 60707, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Flanagan","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children, 2211 N. Oak Park Ave, Chicago, Illinois 60707, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Peer","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children, 2211 N. Oak Park Ave, Chicago, Illinois 60707, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Graf","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children, 2211 N. Oak Park Ave, Chicago, Illinois 60707, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Krzak","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children, 2211 N. Oak Park Ave, Chicago, Illinois 60707, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Hassani","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children, 2211 N. Oak Park Ave, Chicago, Illinois 60707, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Eastwood","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin, Division of Biostatistics, 8701 Watertown Plank Road, Milwaukee, Wisconsin 53226, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. F.","family":"Harris","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children, 2211 N. Oak Park Ave, Chicago, Illinois 60707, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","first-page":"86","volume":"59","author":"Fixsen JA","year":"1974","journal-title":"J Bone Joint Surg [Br]"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199612000-00009"},{"key":"r3","unstructured":"Aitken G.Proximal femoral focal deficiency-definition: a congenital anomaly. Washington: National Academy of Sciences; 1969."},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.32B1.12"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.65B5.6643559"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199911000-00006"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668040-00014"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9098(200004)73:4<192::AID-JSO2>3.0.CO;2-H"},{"key":"r9","first-page":"1241","volume":"10","author":"Knahr K","year":"1987","journal-title":"Orthopedics"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200002000-00004"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199901000-00010"},{"key":"r12","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1097\/00003086-199311000-00044","volume":"296","author":"Catani F","year":"1993","journal-title":"Clin Orthop Relat Res"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971080-00009"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567030-00007"},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199310000-00005"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.04.004"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.305.6846.160"},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1998.tb15369.x"},{"key":"r19","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-1609"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(01)00314-1"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200011150-00017"},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.1136\/ard.62.10.935"},{"key":"r23","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20100287"},{"key":"r24","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2001.25987"},{"key":"r25","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(98)90090-9"},{"key":"r26","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-0033"},{"key":"r27","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(99)90234-4"},{"key":"r28","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/j.2517-6161.1995.tb02031.x","volume":"57","author":"Benjamini Y","year":"1995","journal-title":"J R Stat Soc Series B Stat Methodol"},{"key":"r29","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1093\/ptj\/80.9.896","volume":"9","author":"Shumway-Cook A","year":"2000","journal-title":"Phys Ther"}],"container-title":["The Bone &amp; Joint Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.95B2.30853","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.95B2.30853","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.95B2.30853","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,5]],"date-time":"2024-05-05T09:13:25Z","timestamp":1714900405000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.95B2.30853"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2]]},"references-count":29,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,2]]}},"alternative-id":["10.1302\/0301-620X.95B2.30853"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.95b2.30853","relation":{},"ISSN":["2049-4394","2049-4408"],"issn-type":[{"value":"2049-4394","type":"print"},{"value":"2049-4408","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,2]]},"assertion":[{"value":"2012-09-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-10-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-02-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}