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Unilateral or bilateral V-Y fasciocutaneous flaps for the coverage of soft tissue defects following total knee arthroplasty

BACKGROUND: Soft tissue necrosis following total knee arthroplasty (TKA) may be the cause of the devastating complication of deep infection. It necessitates an immediate operative intervention because it could potentially jeopardise the arthroplasty or even the limb. METHODS: Sixteen consecutive pat...

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Autores principales: Papaioannou, Konstantinos, Lallos, Stergios, Mavrogenis, Andreas, Vasiliadis , Elias, Savvidou, Olga, Efstathopoulos, Nikolaos
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2988015/
https://www.ncbi.nlm.nih.gov/pubmed/21050437
http://dx.doi.org/10.1186/1749-799X-5-82
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author Papaioannou, Konstantinos
Lallos, Stergios
Mavrogenis, Andreas
Vasiliadis , Elias
Savvidou, Olga
Efstathopoulos, Nikolaos
author_facet Papaioannou, Konstantinos
Lallos, Stergios
Mavrogenis, Andreas
Vasiliadis , Elias
Savvidou, Olga
Efstathopoulos, Nikolaos
author_sort Papaioannou, Konstantinos
collection PubMed
description BACKGROUND: Soft tissue necrosis following total knee arthroplasty (TKA) may be the cause of the devastating complication of deep infection. It necessitates an immediate operative intervention because it could potentially jeopardise the arthroplasty or even the limb. METHODS: Sixteen consecutive patients with a mean age of 73,8 years (range 47 to76 years) over a 6-year period (January 2003 to December 2008) with wound dehiscence after TKA were enrolled in the present study. Unilateral or bilateral fasciocutaneous V-Y flaps that are differently oriented, depending on the local conditions of the tissues were used to reconstruct the soft tissues defects. RESULTS: In 15 of the 16 cases studied, the wound was successfully covered with the presented technique while in 1 patient a partial flap loss occurred, which was healed after surgical debridement and the application of vacuum system. No other complications occurred. Knee prosthesis was salvaged in all the patients with a good functional and esthetical outcome. CONCLUSIONS: The presented reconstructive technique is a simple, quick, versatile and reliable solution for the coverage of soft tissue defects following TKA, more than 2 cm width and grade 1 and 2 according to Laing classification, provided the V-Y flaps are applied early in the postoperative period and no complex defects are involved.
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spelling pubmed-29880152010-11-19 Unilateral or bilateral V-Y fasciocutaneous flaps for the coverage of soft tissue defects following total knee arthroplasty Papaioannou, Konstantinos Lallos, Stergios Mavrogenis, Andreas Vasiliadis , Elias Savvidou, Olga Efstathopoulos, Nikolaos J Orthop Surg Res Research Article BACKGROUND: Soft tissue necrosis following total knee arthroplasty (TKA) may be the cause of the devastating complication of deep infection. It necessitates an immediate operative intervention because it could potentially jeopardise the arthroplasty or even the limb. METHODS: Sixteen consecutive patients with a mean age of 73,8 years (range 47 to76 years) over a 6-year period (January 2003 to December 2008) with wound dehiscence after TKA were enrolled in the present study. Unilateral or bilateral fasciocutaneous V-Y flaps that are differently oriented, depending on the local conditions of the tissues were used to reconstruct the soft tissues defects. RESULTS: In 15 of the 16 cases studied, the wound was successfully covered with the presented technique while in 1 patient a partial flap loss occurred, which was healed after surgical debridement and the application of vacuum system. No other complications occurred. Knee prosthesis was salvaged in all the patients with a good functional and esthetical outcome. CONCLUSIONS: The presented reconstructive technique is a simple, quick, versatile and reliable solution for the coverage of soft tissue defects following TKA, more than 2 cm width and grade 1 and 2 according to Laing classification, provided the V-Y flaps are applied early in the postoperative period and no complex defects are involved. BioMed Central 2010-11-04 /pmc/articles/PMC2988015/ /pubmed/21050437 http://dx.doi.org/10.1186/1749-799X-5-82 Text en Copyright ©2010 Papaioannou et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Papaioannou, Konstantinos
Lallos, Stergios
Mavrogenis, Andreas
Vasiliadis , Elias
Savvidou, Olga
Efstathopoulos, Nikolaos
Unilateral or bilateral V-Y fasciocutaneous flaps for the coverage of soft tissue defects following total knee arthroplasty
title Unilateral or bilateral V-Y fasciocutaneous flaps for the coverage of soft tissue defects following total knee arthroplasty
title_full Unilateral or bilateral V-Y fasciocutaneous flaps for the coverage of soft tissue defects following total knee arthroplasty
title_fullStr Unilateral or bilateral V-Y fasciocutaneous flaps for the coverage of soft tissue defects following total knee arthroplasty
title_full_unstemmed Unilateral or bilateral V-Y fasciocutaneous flaps for the coverage of soft tissue defects following total knee arthroplasty
title_short Unilateral or bilateral V-Y fasciocutaneous flaps for the coverage of soft tissue defects following total knee arthroplasty
title_sort unilateral or bilateral v-y fasciocutaneous flaps for the coverage of soft tissue defects following total knee arthroplasty
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2988015/
https://www.ncbi.nlm.nih.gov/pubmed/21050437
http://dx.doi.org/10.1186/1749-799X-5-82
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