Early posttraumatic rotationplasty after severe degloving and soft tissue avulsion injury: a case report.

The case reported here describes early posttraumatic rotationplasty after severe degloving of the entire soft tissue sleeve from the left hemipelvis to the knee in an 80-year-old man who was knocked off his bicycle by a truck. During his treatment and rehabilitation, we observed severe complications (cerebrovascular accident, pneumonia, and spondylodiscitis). At the 2-year follow up, bony union of the rotationplasty osteotomy site was seen. The Enneking score was 10 points. The patient stated satisfaction with the outcome. At the last follow up, he was able to move around the house using his prosthesis and a walker and reported that he had been getting better at independent walking in the last 60 months, but for longer distances, he was still using a wheelchair.