Augmenting Osteosynthesis in Rotationplasty for Proximal Tibial Tumors: A Report of 2 Cases.
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CASE: Two pediatric patients were treated with rotationplasty for proximal tibia sarcomas. Both patients had an uneventful postoperative course with minimum radiographic and clinical follow-up of 5.7 years. We describe a novel technique to augment osteosynthesis when performing rotationplasty specifically for proximal tibial pathology. CONCLUSION: Imbrication of the fibula within a femoral periosteal sleeve facilitates an additional site of bone healing and mechanical support in rotationplasty for proximal tibial tumors.