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 language | English (US) |
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Pages (from-to) | 1529-1538 |
Number of pages | 10 |
Journal | Journal of Arthroplasty |
Volume | 31 |
Issue number | 7 |
DOIs | |
State | Published - Jul 1 2016 |
Externally published | Yes |
Bibliographical note
Publisher Copyright:© 2016 Elsevier Inc.
Keywords
- Flap
- Gastrocnemius
- Reconstruction
- Revision arthroplasty
- Total knee arthroplasty