Van Nes: One of Rare Surgery Executed in Context to Nepal

The procedure in which the distal leg and foot are rotated axially 180 degrees and grafted to the femur bone so as to create a functional joint replacing the knee joint is known as Van Nes. It has been intermittently performed as an alternative to high above knee amputation in malignant bone tumors of the lower extremity, also can be performed as a function-preserving salvage procedure for adult patients with infected knee prostheses. This chapter discusses Van Nes as one of rare surgery performed in orthopedic cases in context to Nepal.