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Examples
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It's called rotationplasty, and it's an uncommon procedure - only about a dozen are done each year, and it's almost exclusively done in children, explains Mayerson.
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"Once it was explained to us, me and his mother thought for sure rotationplasty was the best one," says Dustin Smith, who teaches sixth grade in Fostoria, Ohio.
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Doctors told the family that an amputation above the knee would require Dugan to use about 75 percent more energy to walk or run than with a normal leg. With the rotationplasty, it would take only about 30 percent more energy.
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"Plus, by doing the rotationplasty and taking out the muscles, it decreases the chance of recurrence of the tumor, and gave more functionality to the leg," said Mayerson.
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So Dugan decided on a rare surgery called Van Nes rotationplasty in which the infected part of the leg is removed, and the remaining limb below the cancerous portion is rotated 180 degrees and reattached, with the ankle acting as the knee.
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