Home » Bones » Tibia and Fibula » Van Nes Rotational Plasty Van Nes Rotational Plasty Functional Analysis of Patients Who Have Had a Modified Van Nes Rotationplasty. Van Nes rotational osteotomy for treatment of proximal femoral focal deficiency and congenital short femur. Modified Van Nes rotationplasty in the treatment of malignant neoplasms in the lower extremities of children. Modification of the skin incision for the Van Nes limb rotationplasty. The Van Nes tibial rotationplasty. A functionally viable reconstructive procedure in children who have a tumor of the distal end of the femur. Functional performance after tibial rotationplasty.