Rotationplasty
(e.g. Van Nes Rotation) - a procedure where the leg is amputated above the
knee, the lower portion of the leg is rotated 180° and reattached - the
ankle acts like a knee joint, providing extra function; more mobility and
better control with a prosthesis.
One of the most important things with Rotationplasty is getting the most
'range of motion' as possible. The more range of motion - the more bending
you have.
Your knee can
extend straight out. When you bend your knee as far as you can bend it from
a straight position, this is your Range of Motion. Your ankle is not
use to fully extend (as a ballerina), so you don't have much Range of Motion when you
bend it. This means it's harder to bend your leg completely for
running, sitting, etc. Although your prosthetic can be designed to help with
the difference, with Rotationplasty it's important to work at getting the
most range of motion as possible with your ankle.

Rotationplasty
Links
Websites that helped and informed us in our decision

FYI
Ty has been in therapy for the past 9
months, since coming home from the hospital October 7, 2006. He goes 2 times
a week. His therapy consist of overall body strengthening, building up
the muscles in his leg, learning to use/walk with his prosthesis and working
very hard at getting a wide range of motion from his ankle.
In addition to going to therapy, Ty has
exercises he does at home daily. These include wearing a stretcher one and
half hours a day that stretches his ankle and weighting and icing his ankle
with 10-15 pounds of weights. The goal is for him to fully extend his foot
to gain a larger range of motion so he can bend his ankle to run, squat,
etc. His prosthesis is also designed to stretch his foot while he is wearing
it.
Plantarflexion Measurement
The range in which Ty can been his knee.
The range in which he can extend his foot. The goal is to extend it straight down.
Plantarflexion and Dorsiflexion are measured to check the range of motion he has gained.
The range in which Ty can been his knee.

Plantarflexion Measurement Video
(Louis, Hanger
Prosthetics)
2 March 2007
Ty's Plantarflexion Progress:
Mar. '07 -
60
Jun. '07 -
46
Aug. '07 -
32
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