A, Rhomboid-shaped incision for type AI rotationplasty. B, Alternative circumferential thigh incision and fish-mouth leg incision.( A redrawn from Kotz R, Salzer M: Rotationplasty for childhood osteosarcoma of the distal part of the femur, J Bone Joint Surg 64A:959, 1982; B redrawn from Gebhart MJ, McCormack RR Jr, Healey JH, et al: Modification of the skin incision for the Van Nes limb rotationplasty, Clin Orthop Relat Res 216:179, 1987.) SEE TECHNIQUE 24.22.