[Soft Tissue Defects As a Complication in Knee Arthroplasty. Surgical Strategies for Soft Tissue Reconstruction]

Overview

Journal Orthopade

Specialty Orthopedics

Date 2005 Dec 14

PMID 16344953

Citations 4

Authors

L Kovacs

A Zimmermann

P Juhnke

C Taskov

N A Papadopulos

E Biemer

Affiliations

Soon will be listed here.

Abstract

Soft tissue defects after knee arthroplasty are a severe problem, which can even result in a loss of the prosthesis or the limb. Well-planned strategies are necessary for sufficient soft tissue reconstruction, resulting in optimal functional and aesthetic results. This report provides information on the classification of the tissue defects and the appropriate options for surgical reconstruction. Besides the basic therapy principles of immobilisation, débridement, planned lavages and antibiotic therapy, defect-dependent surgical techniques of reconstructive surgery are implemented. These include skin transplantation, local fasciocutaneous flaps, local pedicled muscle flaps and free flaps. For best results, interdisciplinary treatment by orthopaedic surgeons, plastic surgeons, microbiologists and physiotherapists is mandatory.

Citing Articles

A comparison of healing and complication rates between common flaps utilized in total knee arthroplasty: a review of the literature.

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Arthrodesis of the knee following failed arthroplasty.

van Rensch P, Van de Pol G, Goosen J, Wymenga A, De Man F Knee Surg Sports Traumatol Arthrosc. 2013; 22(8):1940-8.

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[Extended lateral gastrocnemius transposition flap for reconstruction of open knee extensor disruption].

Weber O, Muller M, Gobel P, Pennekamp P, Wirtz D, Burger C Unfallchirurg. 2011; 115(8):746-9.

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Unilateral or bilateral V-Y fasciocutaneous flaps for the coverage of soft tissue defects following total knee arthroplasty.

Papaioannou K, Lallos S, Mavrogenis A, Vasiliadis E, Savvidou O, Efstathopoulos N J Orthop Surg Res. 2010; 5:82.

PMID: 21050437 PMC: 2988015. DOI: 10.1186/1749-799X-5-82.

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