Review of Salvage Therapies for Periprosthetic Joint Infection After Total Knee Arthroplasty.

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Abstract

[Indexed for MEDLINE] 16. J Arthroplasty. 2016 Jul;31(7):1529-38. doi: 10.1016/j.arth.2015.12.054. Epub 2016 Mar 31. Soft Tissue Reconstruction and Flap Coverage for Revision Total Knee Arthroplasty. Rao AJ(1), Kempton SJ(2), Erickson BJ(1), Levine BR(1), Rao VK(2). Author information: (1)Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois. (2)Division of Plastic Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin. 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. Copyright © 2016 Elsevier Inc. All rights reserved. DOI: 10.1016/j.arth.2015.12.054