Novel Use of Intraoperative Laser Angiography to Assess Anastomosis Perfusion in Pediatric Rotationplasty Limb...

This report describes the use of laser angiography to assess anastomosis perfusion in a 9-year-old girl who underwent rotationplasty for osteosarcoma resection. Perfusion of the reconstructed limb is traditionally assessed postoperatively. Delays in addressing inadequate perfusion can lead to morbid complications such as return to the operating room or conversion to amputation. In this patient, laser angiography was used to evaluate anastomosis perfusion intraoperatively, ensuring avoidance of these complications.

Laser angiography has shown tremendous utility in plastic surgery literature. This is the first documented use in pediatric rotationplasty and highlights the benefits of incorporating this technology in orthopaedic procedures.