Soft-tissue Defects After Total Knee Arthroplasty: Management and Reconstruction

Overview

Journal J Am Acad Orthop Surg

Publisher Wolters Kluwer

Specialties General Surgery
Orthopedics

Date 2016 Sep 28

PMID 27673377

Citations 10

Authors

Daniel A Osei

Kelsey A Rebehn

Martin I Boyer

Affiliations

Soon will be listed here.

Abstract

Wound healing complications associated with total knee arthroplasty present a considerable challenge to the orthopaedic surgeon. To ensure preservation of a functional joint, the management of periprosthetic soft-tissue defects around the knee requires rapid assessment, early and aggressive débridement, and durable, contoured coverage. Several reconstructive options are available to tailor soft-tissue coverage to the location, size, and depth of the wound. Special consideration should be given to the timing of the intervention, management of infection, and prosthesis salvage. The merits of each reconstructive option, including perforator, fasciocutaneous, muscular, and free microvascular flaps, should be weighed to select the most appropriate option. The proposed approach can guide surgeons in treating patients with these complex soft-tissue defects.

Citing Articles

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The clinical application of V-Y advanced flap pedicled with freestyle perforator flap for repairing small range defects in the anterior knee region.

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

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