Soft-tissue procedures for the exposed knee arthroplasty. 18 cases followed for 7 (1-17) years.
Reconstructive surgery was performed in 18 knee arthroplasties because of wound-healing problems or skin necrosis. The procedure, after debridement, included myocutaneous, muscle flap, and split-skin grafts. Revision was necessary in 6 cases. After 1-17 years, 6 patients had died, 2 had had a low femur amputation, and 5 had had an arthrodesis. Five patients had retained the prosthesis, although 3 of them had considerable pain and poor mobility; only 2 patients were tolerably painfree and had acceptable mobility. Patients with an exposed knee endoprosthesis should be referred to centers with special competence in plastic reconstructive surgery.
Siim
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Department of Plastic and Reconstructive Surgery, Rigshospitalet, Copenhagen, Denmark.
Jakobsen
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IE
Medgyesi
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000706:statistics & numerical data; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001174:Arthrodesis / Q000706:statistics & numerical data; D003646:Debridement / Q000379:methods / Q000592:standards; D003718:Denmark / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D005684:Gait; D006801:Humans; D007720:Knee Prosthesis / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000453:epidemiology / Q000209:etiology; D012008:Recurrence; D012017:Referral and Consultation; D012086:Reoperation / Q000379:methods / Q000592:standards*; D016038:Skin Transplantation / Q000379:methods / Q000592:standards; D013518:Surgery, Plastic / Q000379:methods / Q000592:standards*; D013524:Surgical Flaps / Q000379:methods / Q000592:standards; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000453:epidemiology / Q000601:surgery*
D000900:Anti-Bacterial Agents