Details

Autor(en) / Beteiligte

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

Titel

Soft Tissue Reconstruction and Flap Coverage for Revision Total Knee Arthroplasty

Ist Teil von

• The Journal of arthroplasty, 2016-07, Vol.31 (7), p.1529-1538

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2016

Quelle

MEDLINE

Beschreibungen/Notizen

• 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.