Soft Tissue Reconstruction and Flap Coverage for Revision Total Knee Arthroplasty

Allison J. Rao, Steven J. Kempton, Brandon J. Erickson, Brett R. Levine, Venkat K. Rao

Research output: Contribution to journalReview articlepeer-review

46 Scopus citations

Abstract

Background: Total knee arthroplasty is a successful operation for treatment of arthritis. However, devastating wound complications and infections can compromise the knee joint, particularly in revision situations. Methods: Soft tissue loss associated with poor wound healing and multiple operations can necessitate the need for reconstruction for wound closure and protection of the prosthesis. Results: Coverage options range from simple closure methods to complex reconstruction, including delayed primary closure, healing by secondary intention, vacuum-assisted closure, skin grafting, local flap coverage, and distant microsurgical tissue transfer. Conclusion: Understanding the advantages and pitfalls of each reconstructive option helps to guide treatment and avoid repeated operations and potentially devastating consequences such as knee arthrodesis or amputation.

Original languageEnglish (US)
Pages (from-to)1529-1538
Number of pages10
JournalJournal of Arthroplasty
Volume31
Issue number7
DOIs
StatePublished - Jul 1 2016
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2016 Elsevier Inc.

Keywords

  • Flap
  • Gastrocnemius
  • Reconstruction
  • Revision arthroplasty
  • Total knee arthroplasty

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