Use of Van Nes rotationplasty to manage a burnt knee

An 11 month old child sustained a deep burn injury to the left knee causing total destruction and sequestration of the knee epiphyses. The ensuing Leg length discrepancy with growth was managed by a Van Nea rotationplasty at age four with a good immediate functional result using a below 'knee' prost hesis and the prospect of continuing ambulation as he grows. The surgical o ptions for managing this problem are discussed. (C) 2000 Elsevier Science L td and ISBI. All rights reserved.