Soft-tissue Defects After Total Knee Arthroplasty: Management and Reconstruction. Review uri icon

Overview

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.

publication date

  • November 1, 2016

Research

keywords

  • Arthroplasty, Replacement, Knee
  • Knee Joint
  • Plastic Surgery Procedures
  • Soft Tissue Injuries
  • Surgical Flaps
  • Surgical Wound Infection

Identity

PubMed Central ID

  • PMC5406670

Scopus Document Identifier

  • 84992170466

Digital Object Identifier (DOI)

  • 10.5435/JAAOS-D-15-00241

PubMed ID

  • 27673377

Additional Document Info

volume

  • 24

issue

  • 11