Pedicled gastrocnemius flap in complicated total knee arthroplasty.
OBJECTIVE
The aim of this study was to evaluate the results of complicated total knee arthroplasty operations treated with radical wound revision and a pedicled gastrocnemius muscle flap.


METHODS
Retrospective analysis in a university hospital during a five-year-period.


RESULTS
Wound revision, debridement of the knee joint, replacing tibial plastics and a unilateral pedicled gastrocnemius muscle flap operation was performed to 10 patients after complicated total knee arthroplasty. After a median follow up time of 11.5 months 8/10 total knee arthroplasty joints were saved.


CONCLUSIONS
As much as 80% of patients could save their knee joint with this treatment protocol. Treatment of this problem needs good collaboration with orthopaedic and plastic surgeons.
Papp
A
A
Department of Plastic Surgery, Kuopio University Hospital, Kuopio, Finland. anthony.papp@kuh.fi
Kettunen
J
J
Miettinen
H
H
D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery*; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome