Article: Wound dehiscence after total knee arthroplasty

Introduction: Wound dehiscence is one of the most common complications of surgical ulcer, involving the breaking open of the surgical incision along the stitch. This condition is a severe complication of total knee arthroplasty.

Presentation Of Case: We report a case of a 59-year-old female patient with diabetes who underwent a total knee arthroplasty in which all layers of wounds were dehiscence and prosthetic was exposed.

Discussion: Wound dehiscence is a complication after total knee arthroplasty especially in diabetic patient. So, patients with diabetes more susceptible to development of wound dehiscence following total knee arthroplasty and should be followed particularly postoperatively care.

Conclusion: Postoperative care after knee replacement should be more considered in diabetic patients. Finally the patient was successfully treated with irrigation and debridement (I&D) and polyethylene insert exchange.

Citing Articles

Comparison of surgical wound infection and dehiscence following the use of two methods of nylon sutures and skin staples in staples in diabetic mellitus patients undergoing total knee arthroplasty surgery: a randomized clinical trial study.

Rahbari H, Ahmadi M, Doreh M, Mahmoudi S, Ghaemmaghami P, Fereidouni A BMC Musculoskelet Disord. 2025; 26(1):70.

PMID: 39828687 PMC: 11744891. DOI: 10.1186/s12891-024-08263-7.

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Wound Dehiscence After Total Knee Arthroplasty