By Daniel Casciato

For many oncology patients, facing a diagnosis that involves a tumor in the lower extremities can feel like an uphill battle. But for some, a groundbreaking surgical option called rotationplasty is offering hope, mobility, and a pathway to reclaiming an active life.

What is Rotationplasty?

“Rotationplasty is one of several options available for oncology patients, particularly those with tumors in the proximal tibia or distal femur,” explains Stephen D. Miller, CPO, Regional Vice President – SE Region for Hanger Clinic, a leader in orthotic and prosthetic solutions with over 44 clinics in Florida and 925 nationwide. The procedure involves removing the affected section of the leg, rotating the lower leg 180 degrees, and attaching it just below the hip. The ankle joint is then repurposed to function as a knee.

This unique approach offers several advantages. “It’s a one-and-done surgery,” says Miller. “Once the procedure is completed, patients can typically move forward with a prosthesis and resume an active lifestyle. There’s no need for secondary surgeries or concerns about long-term complications with internal components.”

Who Is a Good Candidate for Rotationplasty?

According to Miller, patient activity level is key in determining suitability. “If you’re looking to remain extremely active—playing sports or engaging in high physical activity—rotationplasty is a strong option,” he says. Unlike other limb-salvage procedures, rotationplasty provides unparalleled durability, allowing patients to engage in robust physical activities without fear of harming the surgical site.

Prosthetics: A Vital Component

Hanger Clinic’s expertise in prosthetics plays a crucial role in helping rotationplasty patients recover and thrive. Over the years, the clinic has refined its prosthetic designs to address long-term challenges. “We’ve improved modification techniques and materials to ensure a better fit and enhanced comfort,” Miller notes.

With advancements in prosthetic technology, including high-performance feet that mimic natural movement, patients can achieve a remarkable degree of functionality. “We can now fit patients with a prosthesis as soon as the suture lines heal, allowing them to return to normalcy much faster,” Miller adds.

Education and Collaboration

One of Hanger Clinic’s most important contributions to rotationplasty is its role in education and multidisciplinary collaboration. “We’re working to expand awareness and train more prosthetists, physical therapists, and other clinicians on proper techniques,” Miller explains. Hanger Clinic also shares resources with providers across the country, ensuring that even practitioners with limited experience in rotationplasty have access to the tools and knowledge they need.

Through events like Hanger’s upcoming educational conference, the organization is equipping healthcare professionals and patients with the information necessary to improve outcomes. “It’s about sharing what’s worked and creating a community of support,” says Miller.

Overcoming Challenges

While rotationplasty offers immense benefits, it does come with unique challenges. “There are what I call life hacks—small, practical solutions to daily hurdles that patients encounter,” Miller shares. Hanger Clinic addresses these through events like EmpowerFest, where rotationplasty patients can connect, exchange tips, and learn from one another. “Now, with social media and community events, patients don’t have to figure things out on their own anymore,” he says.

Looking Ahead: Innovation in Prosthetics

Hanger Clinic is focused on further innovation and education to enhance outcomes for rotationplasty patients. “We’re inviting more patients and clinicians to educational courses so they know what to ask for and how to support each other,” Miller explains.

By expanding its educational platform, Hanger Clinic is ensuring that rotationplasty patients receive the best care possible wherever they are.

Local Support, Nationwide Impact

One of Hanger Clinic’s strengths lies in its extensive network of clinics. “Having locations nationwide ensures patients can access resources closer to home,” says Miller. This local support is crucial, especially for young patients who might otherwise need to travel long distances to find expertise.

Hanger Clinic connects local clinicians with experienced teams by leveraging video chats and collaborative tools, creating a seamless support system.

A Bright Future for Rotationplasty Patients

Rotationplasty is more than a surgical procedure—it’s a second chance for many oncology patients to lead active, fulfilling lives. With Hanger Clinic’s commitment to innovation, education, and community support, patients can feel confident in their journey toward recovery. As Miller emphasizes, “It’s a solid, life-changing solution that helps patients thrive well into adulthood.”

For more information about rotationplasty and Hanger Clinic’s services, visit www.hangerclinic.com.