2022 AMI Online Salon

Van Nes Rotationplasty

Project Details

  • Entrant Name:  Josephine Hydell
  • Client: Kevin Brennan
  • Copyright:  Josephine Hydell, 2022
  • Medium/software used: Adobe Photoshp, Adobe Illustrator
  • Final presentation format: Poster
  • Primary Audience: Surgeons

Project Description

A Van Nes Rotationplasty is a procedure most used to treat osteosarcoma of the knee in children. The rotationplasty involves the removal of the affected knee joint, including the distal portion of the femur and proximal portions of the tibia and fibula. The Sciatic nerve and several vessels are preserved. The separated portion of the leg is then rotated 180 degrees and positioned at a height even with the other knee. Muscle groups are then joined to create a new “knee” that will function with a below-the-knee prosthetic. This illustration is a visualization of the key characteristics of the procedure indicating the muscles, nerves, and vessels of the leg that are preserved. Also indicated are the structures that were divided for reattachment.  The skin of the legs depicted is of a person that is ethnically different from what is frequently represented in media. The colors used in the illustration to differentiate the nerves, veins, and arteries are visible to many of the varieties of colorblindness and are consistent with the color norms used for anatomical structures.