What is a rotationplasty?
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- čas přidán 29. 06. 2024
- A rotationplasty is surgical procedure that provides an excellent cancer treatment option for patients with tumors in or near the knee joint, such as sarcoma. This specialized cancer treatment is best applied in children who are still growing.
During this procedure, the surgeon removes the affected portion of bone, along with the knee joint. The major artery, vein, and nerve leading to the foot are saved.
The lower portion of the leg is rotated 180 degrees counter clockwise and then attached to the upper portion of the leg.
The ankle is now on the same plane as the former knee, with the foot and toes pointing backward and the heel facing forward. Because of the rotation, the ankle bends in the same direction as the knee.
The surgeon will take into account the age of the child and their growth potential. Initially, the surgically-modified knee center will be lower than the unaffected knee. As the child grows and bones lengthen, the knee centers will match.
In three to six months, after the bones have healed, the patient can be fitted for a prosthesis. The patient’s foot fits inside the socket of the prosthesis and the ankle functions as the knee joint. In time, the patient will develop greater control, function and mobility. Most patients are able to walk unassisted and return to their regular activities, including playing sports.
Learn more about rotationplasty and other specialized orthopedic oncology surgeries that can help preserve cancer patients' active lifestyles: www.mdanderson.org/publicatio...
Request an appointment at MD Anderson by calling 1-877-632-6789 or by completing an online self-referral: my.mdanderson.org/RequestAppo...
The man who thought of that was either a mad scientist or a genius, both of which is admirable
It's remarkable how often those two traits coincide.
Actually, it was a woman.
He or she is a genius for sure.
666th like here.
Mad Science is the only way forward.
crazy aint it
Their knee floating up into the heavens is an image that I will never forget
😂
This comment destroyed me
lol
OmG LOL. I can't stop laughing.
Alexa, play gangster's paradise
POV: you were the first person to sleep at a sleepover
A kid at my school has this surgery. I didn’t know him, but one day I saw a kid with a rotated foot up high. I hope he is now doing well now.
The fact this isn't a meme just shows you how equally bizarre and amazing the human body is. Modern medicine sure is genius.
True, imagine trusting different colored rocks instead of modern medicine
MD Anderson cancer Center
I was going to make a joke about that untill it showed up in my suggestions list
It's not that modern.
It's possible since about the middle of the last century.
Is it really though
Its a meme now
I thought this was a joke then realised.
Pretty smart though
same
No .. it's scary... Spooky
I think it is resourceful but kind of grim. I assume you need to make the decision for this surgery pretty early on. Still very interesting
Same
Same here. I was also distracted by the scar tissue tune.
I got so upset when I saw the ankle being rotated 180 degrees, but I felt such relief when I saw they are getting a prosthesis. Mad respect to the doctor or surgeon who came up with this!
This is actually genius, whoever came up with this is a hero
Man they had me think, why would they ever. It wasn't until she on her prosthetic. The foot acts like a knee.
Yeees, because prostetic knees are hard to control
Same here I was like what in the until I saw how well it functions as a replacement knee
honestly i breathed a sigh of relief when i figured out that the foot wouldn't just remain awkwardly in position like that for the rest of their lives
Same! i was thinking just cut it all off but she can walk tho, so is a plus.
Thank for the explanation. I was so lost lol
I was 100% it was a funny joke video, until I saw the real footage.
Omg same
Same i was like no way thats possible until i saw the video
xd
Men
That looks like some kind of strange torture
Wait, there's a real photo?
Edit: ok, I don't gonna see this twice
It's crazy to think that this video became a "first one to fall asleep at a sleepover" meme. That aside, I found this video to be quite interesting and informative. I didn't realize prosthesis could work in this manner!
man life can be brutal. i was watching this while feeling a little bit down and all of a sudden i don't feel down anymore. as well as i feel more grateful for what i have.
"remove only the affected part and bone"
*PROCEEDS TO TAKE OFF THE WHOLE LEG*
it's all about making it as easy as possible to use a prosthetic leg. Much better to have half your leg removed, but with a joint that lines up with your other knee, then to have a longer (but still shortened) leg you can't bend.
The Sad part is, it is the affected Area :/ Bone Cancer spreads quite rapidly untreated.
because the whole leg is affected :(
This is the thing with surgery, funny af.
Well, you can't replace something that's still mostly there.
I did not search for this, and most likely neither did you.
Hahahaha true 😅😅
No, but we are grateful to know this exists.
First reply
true
I did lmao. I legit just randomly thought of "is reattaching limbs possible" this morning and found a kid with rotated foot on his knee in my search. Then i went to youtube.
Nothing but the best from MD Anderson. Its good to know my hometown has me in good hands if I’m ever diagnosed with cancer.
This is really an amazing surgery, I couldnt believe my eyes the first time I seen that news story about that young girl who danced and could still dance even after they surgery. Out of all the surgeries this one looks to affect live the least. Amazing job whoever designed it and those surgeons who perform it.
I was so confused about how did someone create a meme account named "MD anderson cancer center" and get verified until I notice this is a legit medical video...
f i r s t comment
@@folddyy yh but for some reason nobody cares
:(
Hm
@@funwithfish1507 wKwKwK
The surgery legit looks like a shitpost
the image of those blood vessels and nerve just floating in space after they remove the knee is haunting me
same. what it they tangle or bend causing blockage XD
Dealing with it on an actual body is just as bad. I spent a whole dissection trying to isolate a branch of the brachial plexus (nerve organisation of the upper limb) from a cadaver and seeing it just dangling out there at the end was an experience.
@@miaa7968 _uuuugguggugughghghghugghghghhghghghghhughhghg_
now im imaginating someone having their foot only connected by blood vessels and being dragged around while they walk
As opposed to blood vessels and nerve just laying there on the surgical table during the degloving?
My dad had surgery for his cancer and had to go to the doctors today for a check-up and to ask questions. I asked the doctor what was the craziest thing he has done at his work and he sent me this video and said he did this surgery two times.
I got this procedure once. It taught me a valuable lesson: never be the first to fall asleep.
The fact that they design prosthetic legs with the idea that someone now has a foot reversed at their knee is absolutely genius. That way they can have a prosthesis that actually bends at the knee and they have full control over it.
Just an absolutely mind blowing and clever solution.
Yeah I was so confused at first and then realized that its practical. If it works it works I guess.
you said the same thing in both sentences
But the ankle doesn't fold anywhere as far as a knee will, so it looks rather limited, or can the ankle bend further with some practice or the prosthesis make up for it
it's sounds so grotesque in theory; but in practice
@@thegk-verse4216 I actually think it is quite similar. Their is a difference but from the looks of it I don’t think it is a lot
ive never transitioned so quickly from uncontrollable laughter to feeling like i need to donate to a reputable charity before in my life. This video was a setup😭
@Brian No need to be rude about it. Relax, Darren.
@Brian Aww it's okay, Herobrine's not real buddy. He's not coming to get you.
@Brian because at first he thought it was a joke video. chill
@Brian it's very funny, the way how they animate the leg coming off is gold.
@Brian look whos in 2021 now, era of the some funny
Found this from a meme and learning about it is absolutely fascinating, medical science is a modern marvel
Wow! that is amazing .That is so awesome how the ankle became the knee joint, never seen anything quite like this .but it's totally amazing 😲
I thought this was a meme video for a second
same
Same, i had to check de channel.
Lol yeah
Yeah but then I realized they were legit
same lmao
"Why don't we put the foot backwards? lol"
*Actually works to help patients keep their mobility*
Bro its just a prank
The prank:
At first I thought this was a joke, until I saw an actual person with the surgery 💀💀💀 I have mad respect for the person who came up with this.
I want to send a big hug to the people that had this kind of surgery.
Im CRYING
Poooo
Same..........
I think they are doing fine
and maybe a little "can I tap your kneekle
Some doctor really went "knee? Ankle? They're both joints, it'll work" and it did. Medicine is genuinely wonderful.
Cotton Hill
“Look who fell asleep first”
“Prank em john”
The surgeon who first tried this must have been a complete badass
I never knew such thing exists, this is a pure miracle!!!!!
What do they do with the knee part? Can I buy it?
Why are there no comments?
Lol
I guess if you want tumoured filled ham
Your pfp and this comment are the perfect combo
@Vague LB why lol
POV: you are the first one to sleep at a sleepover (rookie mistake)
loool!!1!!1!1
😤😤😤😤😤😤😤😤😤😤😤😤😤😤😤😤😤😤😤😤😤😤😤😤😤😤😤😤
"You didn't had to cut me off"
*Proceeds to cut of his leg*
This is where I came from
You stole this from a video
That’s actually so smart! Medicine is awesome! I actually strive to be a nurse one day
Dude, its just a prank.
The prank:
I had this surgery nearly 20 years ago, I was 11 at the time and I had no idea what they where talking about. But I was amazed how easy it was to learn how to walk again, no trouble at all. Next to no phantom pain aswell. Really glad I was able to do this, instead of just chopping the leg off.
We're so glad to hear you're doing well. Best wishes to you.
Wow you my friend are a warrior, i just had a medical scare where i thought i might of had cancer but everything turned out to be okay. i reevaluated my life, i stopped smoking and improved my diet. Surgery is terrifying to me i wont lie, so my hat truly goes off to anyone who takes that hurdle and keeps fighting everyday.
I was actually curious about the phantom pain. Glad you don't have it and hopefully other patients don't too.
props to that surgeon who did your procedure, 20 years ago too
@@mdanderson I legit thought this video was a joke until the very end
Ankle after surgery: I'm a knee now
In all seriousness, this procedure along with many, is a life saving one, respect and best wishes to all who under go any kind of surgery
"I'm a knee now! :D"
I did not expect them to take half the leg.
O bom é que não haverá rompimento de ligamento cruzado na perna esquerda.
"maybe, i am knee"
hats off doctors s
pov: youre the first one to fall asleep first at a sleepover
I remember doing this with some buds with another friend who was asleep as a prank during a sleep over, good times.
wait, did you enjoy performing surgeries with your friends while they sleep?
They had us in the first half not gonna lie
Why did no one comment here?
Hi?
Im the reply
true
😂
I went into this wondering why this procedure exists. Then I thought, oh ok because of malignant tumors but, how does this help the person walk? Then they explained the prosthetic leg and I was just really impressed. That's ingenious.
they apparently can also walk even without the prosthetic
right? i always thought it was just a cut off leg with no foot
I wanna know who thought of it first, like, what exactly was going through their mind
Wow what a blow by blow of your experience watching this 1:40 second video. Thrilling stuff.
I was thinking the same thing…. Why would you ever want to do this!?! Being able to restore someone’s mobility! Absolutely fantastic!
POV: you survived the femur breaker so they are repairing your leg.
pov: you fell asleep first at the sleepover (rookie mistake)
FR THO
Everybody gangsta until it's actually real.
i knew it was real from the beginning, i don't know how most people thought it was a joke
@@catakuri6678
Its cutting off a leg and putting it on backwards.
Sounds to weird to be true, thats why a lot of people thought it was a joke.
@@catakuri6678 woooshed right over your head.
True
@@catakuri6678 0:37 Because the sudden swelling of the calf makes me doubt
This video sounds so casual, like it's explaining how to mend a broken arm or something.
Is there a difference between a broken arm and leg? Cancer is something that's technically broken
What's hard is mend broken heart hiya...
@@willythepool3812 Sounds like someone just got their heart shattered lol
dude mending a broken arm isn't casual either lol
@@willythepool3812 uncle roger
Props to everyone who is actually taking this seriously instead of just laughing at it and treating it like a meme
Barely any comments: Normal
Most of the time: "when you are the first to sleep at a sleepover 💀"
The saying "I'm going to steal your kneecaps" was made literally here.
That’s... actually kind of interesting.
Never did I think a foot being attached higher and backwards would be so casual for such a devastating procedure, but here we are.
It’s very weird, but extremely fascinating at the same time for how our bodies can adopt.
@Tracchofyre ..or logic? 180 degree rotation
Uhm.... gumball supposed to be a little dumb am I right? And zach is not your real name
adapt*
pov when the game controls are inverted
You know thinking about it, the doctor who made this is a genius
When youtube gives you weird recomendation
Dita, you here ?
hmm WT ...
Wow
When a 16k comment has 2 replies.
Lol 3 replies in a 16k likes comment
I didn't read the channel name and thought this was a meme. I am insanely impressed by the ingenuity and skill to make this possible and my heart is warmed knowing there are people who have better lives because of breakthroughs like these even if it is a little bit.
There are videos of people with this surgery who were able to go back to doing ballet! It’s really amazing
Same lmao
Literally same
You snooze you lose
Meme?😂😂
What the hell?
I already know this kind of surgery, so I just clicked to appreciate the animation of this video. I would like to make animation videos of this style in the future.
When you fall asleep at the sleepover first
POV: you fell asleep first in the sleepover
As horrifying a thought that is backward foot as my new knee joint is, I'm super glad that this not only works but is very effective, apparently. Still, I will never unsee backward foot as a new knee joint. That will haunt me until the day I die, and hopefully no longer.
To be fair, I believe this is rather cheaper than just connecting a whole bionic leg. Therefore I see this as an absolute win.
No replies
imagine cutting the nails on that reversed foot
I genuinely felt a little sick to my stomach for a bit and cringed. It's really offsetting seeing something that could've easily been made by a horror movie mad scientist, in a real life scenario. Don't get me wrong, if the person receiving this is ok with it and they get their life saved, good for them. But visually.....yikes.
I feel bad for you honestly
As a childhood cancer survivor I forget that people don’t know about it. I saw two kids on my ward that had this done. It’s really so innovative because you keep a real knee joint and the prosthetics have to be only below knee so it leaves way more mobility. I thought it looked a little funny the first time I saw it but when I saw the kid walk super well on prosthetics real soon it made me so happy. And after seeing it twice it’s really not that weird anymore ^^
We're thinking of you.
Respect dude, I think You're right
Did you get this surgery yourself?
I guess but your ankle has nowhere near the necessary amount of flex that your knee joint does
This is real?! I genuinely thought it was a meme
girls prank: haha i swapped your shampoo with water
boys pranks:
"Its's just a prank bro!"
The prank:
-🤖
I'm glad I'm not alone when I say that I legit thought this was some stupid meme, but then learning that this is how some prosthetics actually work.
OH WHAT
Well this is technically a meme, in its original meaning as a gene analogy. It is a piece of information that has found a way to spread and replicate. In this case, mimicry. It's a serious surgical procedure video we wouldn't have clicked if it wasn't masquerading as some stupid shitpost
At first I was like "Uhh no wth am I suppose to do with an inverted foot?" Then I was like "Ok that works"...It's far better than a total removal. If ever I am put in that situation, I can live with that.
Same
never fall asleep first at the 3am sleepover
الحمد لله الذي عافانا مما ابتلى به غيرنا و فضلنا على كثير من خلقه تفضيلا
*Sees thumbnail*
Me: Ha, must be a joke
Video: *shows real footage*
Me: *Surprised Pikachu*
Why no comment?
How do you deal with the upper leg being 1 bone and the lower leg being 2 bones. How does that line up
Aronou
they probably fuse the three bones into one junction
the small bone of the lower leg (the fibula) is pretty much useless so they attach the other bone (the tibia) onto the femur, just like that
The tibia (larger of the two) is cut and connected to the cut femur. The fibula is left whole and the extending portion is inserted into the thigh (unlike what is shown in this video).
this piano man is the last person i expected to see in this comment section
At first I was like, there is no way this could be useful for people.
But then I watched the rest and I was genuinely impressed.
This just twisted my whole mind, I’ve never seen this before. Like to actually flip a whole foot surgically? Im shook 🤯 That’s Crazy!
This looks exactly like a shitpost up until the last 20 second. Mind boggling technology and practicality. I'm impressed and full of respect towards the people who came up with this.
yes
Wow 400 likes without a single reply.
Except for mine if course.
modern medicine has some cool ass shit
Yeh I thought why the fuck are they giving them 1 leg shorter than the other and the wrong way round are they trolling?
u mean 40 srconds
A friend of mine had this after having cancer in their leg. It doesn’t stop her from doing anything!
"Chill bro, it's just a prank"
The prank:
At first, I thought this looked really really weird. But now that I watched it,
IT'S FREAKIN' GENIUS!!
Seriously, that's really cool! Our technology is amazing!!
I thought this was pretty ridiculous at first, but yeah, I can see how it would be incredibly useful to have your foot, even if backwards, for the purposes of operating prosthesis. Whoever came up with this surgery was thinking outside the box.
I imagine it'd be hella awkward to cope with the fact that your ankle has been turned into a knee and is now facing backwards, tho.
I'm sure I'd be able to learn to work with it eventually, but it'd be super weird. Glad I still got both legs
Just imagine how much trial and error had to be done to get here
Please don't fuel my imagination.
I’d rather not
Actually i think a lot less that you would assume.
Som highly intelligent minds have surely looked over the problem and realized that this would probably work just fine.
The hole crowing into place thing is surely not something that came into surprise, we been studying rate of growth for as long as we had doctors, and there alot of tel tel signs of how high a person gonna grow to be.
?? That's not how science works
thankfully, we now have computer simulations to look at approximate results before moving on to the real thing.
I love how youtube recommends me the "you are the first one to sleep at a sleepover" meme original video 😂
It's a prank bro
The prank:
Oh happy day! One of my students had this done, and she just got word today that her bones finally fused after months of setbacks! She’ll get to walk again! 💃🏼
That's wonderful to hear. Best wishes to you and your student.
@@mdanderson she had the procedure and follow up done at your hospital. 👍🏼👍🏼
Yay!
All the best wishes for her.
@@mistihansen8265 The 3d animation was inspired by her actual procedure
My first thought was "this seems ridiculous, why not just amputate up to the mid-thigh?" But now I can see that with a rotated foot that acts as a knee joint, someone with a rotationplasty will have a better range of motion. That's actually pretty dang cool!
They also probably don't get the "ghost limb" that amputees get, where they feel pain for the body part that doesn't exist anymore.
@@effervescentrelief Didn't think of that, good point!
@@effervescentrelief wouldn't they still feel pains and sensations for the part of the leg they removed? Like they preserved the main nerve but they still removed tons of branching nerves so i figure they'd still have it.
also it's easier to walk on since when they wrap muscle around the bone with the regular amputation procedure it's not ideal to put weight on basically raw bone with some muscle padding.
@@Myemnhk phantom pain is the brain trying to elaborate feedback that just is not there (the video where someone have his hand hiddend, than a prop came in, and after some specular interaction the brain believes that it's recieving impulse from the prop hand instead of the real one, then the prop get stabbed with a fork and for a few instant the person feels actual pain).
this procedure leaves a full set of main nerves there, so a lot of information is still the original feedback that prevents the "search" in the first place; it's unclear if it's completelly possible to remove phantom pain, but there's no phantom limb effect, as most of the limb, from a nervous prospective is till there and sending correct feedback to analise
Blown away by this 😮
Amazing work 👏
The thumbnail:
My mind: "Hey, Mark! Do the leg thing!"
yoooooooo are you talking about that one markiplier video
LOL
bruh
ok
YES
bruh that must feel weird
That probably feels like hell
@@lukesutherland8772 now that you mentioned it, that must be difficult.
Foot is a lot better suited to withstand the weight of the body during walking than a bone stump. No doubt its weird but its wirth it. Pedicures must be annoying thought.
@@tea_books728 i guess its better than losing your knee
@@nonec384 why don't they just remove the parasites and done?.
The recovery is brutal, it's like taking 1 step forward and another step back.
Pov: You fell asleep first at a sleepover
Impressive how far we have come with advancements in technology and medicine.
soon we can cure cancer lol but for now they are all focused on corona
@@Memesifoundonfacebook There will never be one cancer cure...it will take years still to cure just one type. Let alone the hundreds that exist
we are literally playing lego with people
@@Memesifoundonfacebook it's impressive until you go out on a date with a woman and you find out that she has a foot like that!
Step one
Remove half of leg
Step two
Ankle knee
Never in a million years I'd think of something as brilliant as this
POV : you fell asleep first at a sleepover
stuff like this makes me have faith in humanity
Some crazy scientist wakes up in the middle of the night:
*What if I turn an ankle.... into a KNEE!?*
Seems like his idea paid off lol
"BRILLIANT. AND THEY CAN STILL WALK TOO. HAHAHA THIS IS GREAT."
I was one of the first patients ever to have any kind of nerve-sparing joint extraction. My sense of relief having it all over with was incredible! I felt like giving my surgeon a high-five but was still learning to use the foot he'd attached to my arm.
are you a survivor from unit 731
Best wishes to you, Brian.
Wait wait wait... The foot is on your arm?!
With their cold response, just know you've made some sort of list at MD Anderson. Pray to god you never find yourself in their care. Never, NEVER, make light of a Doctors work. Their ego will never let them forget. 🦶
I think this is a joke...but, after watching video, can't be sure
Man it really brings back the old memories of my first sleep over
*you didn't have to cut me off*
love how nearly the entire comment section is just people having a moment of realisation
I thought magically the foot will grow and become straight.
sameeeee that's why I forced myself to watch till the end.
but then there will be no knee
U cant force someone(thing) you be straight!
Hahaha
@@autorefresher1 😂😂( pun intended)*
pov: when you first person to fall asleep at a sleepover
Having only seen the clip of the foot being fused with the thigh with zero context I thought for sure this was just satire but now that I'm seeing the full thing I'm actually very surprised and impressed
Thank you for giving cancer patients hope and a chance to live a normal life.
JOKE ALERT: Not too normal if they have a backwards foot-knee thing, eh?
End JOKE ALERT
@@Bobdylan12121 haha cancer patient cant live normal life they foot backward lol xdhhahaha
@@doyoufart1334 it's called dark humour. That's why he even put joke alert because people like you don't understand dark humour
@@axeonee We understand it. You don't understand what a funny joke is.
@@axeonee jokes are usually funny, not so much in this case.
this is a creative yet effective solution to a terrible disease! it makes me happy that researchers are doing this type of work :)
unless the disease causes pain, you'd be better off with the disease than looking like a freak
cancer is not a diesease
Ngl it might work wonderfully but if they said that they're gonna do that to me, I'd just ask them to kill me instead.
I saw how a kid was able to play BasketBall again thanks to this surgery, amazing stuff
Cancer is a disease.
This is a genius and brilliant idea wow
This is such a genius idea that I want to do it even without having cancer