Thursday, April 26, 2018

Why Surgeons Amputated Child's Leg, Reattached It The Wrong Way

Not long before her 7th birthday, a young girl, a small dancer with big dreams of performing on stage, received a devastating diagnosis.

Doctors discovered a 10-centimeter tumor in the femur in her left leg -- and it had broken the bone, according to doctors. When it did not respond to chemotherapy, doctors told her parents that the limb would need to be amputated, but they had a solution to help the active child maintain her mobility, according to the news.

During a rare and complex medical procedure this year, surgeons in central England amputated her leg at the thigh, removed the central portion and then reattached the lower leg to the upper leg - backward. The young girl will eventually be able to use her ankle as a knee joint and simply fit her foot into a prosthetic so she can walk, run and dance once again.

"It doesn't feel that different," she said, tracing the scars on her leg. "But it is different when I have to move 'cause it's the other way around -- when I move it up or down or side to side, I go the other way 'cause it's the wrong way around."
 

The girl was diagnosed last year with a form of bone cancer called osteosarcoma, or osteogenic sarcoma, according to doctors.

Her mother,  told that her daughter's leg "gave way" while she was playing last summer, and although her parents tried to nurse the injury, her limb continued to swell.

The mother took her daughter to a nearby hospital, and was then sent to a Children's Hospital, where doctors confirmed the diagnosis, she said.

"I called my husband, and when they took us into a room with comfy chairs and tissues, I knew it was bad news," the mother said.

Osteosarcoma, which is the most common type of bone cancer in children, typically affects the femur and tibia in the upper and lower leg and the humerus in the upper arm, according to the Hospital. When treated early, the long-term survival rate is 70 to 75 percent, according to the children's hospital.

Such tumors can be treated with chemotherapy or surgery, such as rotationplasty - a procedure most commonly used to treat tumors in children in which the lower leg is turned 180 degrees, essentially turning the ankle into a knee.

In January, the young girl had the operation.

A surgeon who performed the procedure, said this week that before she went into surgery, she bid farewell to the "loser" tumor.

"She was the perfect patient to have this procedure and even said 'goodbye loser' to the cancer as we prepared to amputate," he said in the statement.

"She has shown real bravery and confidence in showing off her leg, even though it looks a bit different. I'm glad that she'll be able to continue doing all the things a normal child can do including sports and dancing."

The girl's mother could not immediately be reached for comment but told that the procedure was her daughter's best option.

"This way, she'll be able to then get a prosthetic leg," the mother said, telling her 7-year-old daughter that she will be able to "do all the things you used to love to do and all your and all your sports and your dancing."

Family members and friends have started donating to a JustGiving page to help the child's parents keep her fitted with prosthetic activity blades.

In the end, the girl's mother said she thinks her daughter's dream will come true.

"The girl has always been an active child, she attended various clubs: Swimming, athletics at school, street dancing, ballet and tap, acrobatics and gymnastics. In addition she loves riding her bike and running. She dreams one day to return to dancing and perform on a stage," the mother told about her child. But the mother added that since the surgery this year, her daughter has also developed some new dreams. "She talks of how her new leg will enable her to travel the world one day and maybe even enter the Paralympics."
 

"People ask how we cope, but we take our lead from the girl, she has been so positive about all this," the mother told the news site. "She has been so brave through all this -- just before her surgery she waved to her leg and said 'bye, bye tumor, see you loser!' After her surgery, one of the nurses overheard her say to another child: 'There's nothing wrong with being different.' "

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