When Amelia Eldred, an active 7-year-old Englishwoman, had to have her leg amputated for the treatment of bone cancer, the doctors performed an unusual operation: they removed the middle part of her leg and then attached the lower part of her leg – but  While the operation sounds strange – it leads to a knee-high foot pointing towards the back of the body – doctors say that children have a more active lifestyle and better leg function than other treatments such as a full-leg amputee. In this case, Amelia's left-behind food acts like a knee joint.
"It was immediately the best option for us," said Amelia's mother, Michelle Eldred, to the BBC. With a lower leg prosthesis, the girl can do all the things she loves, including dancing and doing sports. But with a full leg amputation she probably would not have good freedom of movement, said Eldred. [27 Oddest Medical Cases]
The operation that Amelia received is a rare surgery known as rotational plastic used to treat bone tumors near the knee, such as the Dana-Farber / Boston Children's and Blood Disorders Center reports. In this case, Amelia was diagnosed with osteosarcoma, the most common form of bone cancer in children, which caused an aggressive tumor in her left femur (or femur), according to British news broadcaster Birmingham Live.
In Surgery Of this type, the doctors first remove the middle section of the leg, which includes the lower part of the femur, the knee, and the upper tibial bone. Then take the remaining part of the lower leg, turn it 1
With an over-the-foot prosthesis, the patient's leg basically works like a lower leg amputation, said Drs. Joel Mayerson, an orthopedic oncologist at the Ohio State University Comprehensive Cancer Center, who was not involved in the case. This is important, as with an amputation above the knee, patients need to spend about 70 percent more energy than normal to go with a prosthetic, but amputation below the knee will only be 20 percent above normal. Mayserson said
"This is a good alternative to enable them to be very functional with modern prosthetic use," said Mayerson Live Science.
Rotational plastic surgery is most commonly performed in children under the age of 12, who can usually better retrain their brains to use their ankle as a knee joint, according to Dana-Farber / Boston Children's. In addition, small children still have much to do, which can make other treatments for bone cancer more difficult.
For example, a procedure called limb salvage surgery may be used to treat osteosarcomas, but this technique requires physicians to replace part of the patient's bone with a metal implant or corpse bones. However, these materials do not grow with the child, so a small child needs multiple surgeries to make the limb longer so it can grow with the baby, Mayerson said. In contrast, with rotational plastic, "most of the time, it's an operation and you're done," he said.
Another benefit of rotational plastic is that children can maintain a very active lifestyle – including participating in high-impact activities such as running and jumping, which would not be possible with limb resuscitation, Dana-Farber / Boston Children & # 39; s. Patients who have a rotational plastic also avoid the phantom pain that typically occurs with a conventional Stanford Children's Health amputation as the nerves in the lower leg are preserved.
Amelia was diagnosed with an osteosarcoma in August 2017 and had undergone several chemo treatments prior to the rotational surgery in January, to Birmingham Live. A recent scan shows that Amelia's bones merge well after surgery, Birmingham Live reported.
Amelia "has shown true bravery and confidence to show her leg, though it looks a little different," Dr. Lee Jeys, an orthopedic surgeon at the Royal Orthopedic Hospital in Birmingham, England, who conducted the procedure, said in a statement. "I'm glad she can continue to do all the things a normal kid can do, including sports and dancing."
Original article from Live Science .