title: Pedicled gastrocnemius flap in complicated total knee arthroplasty.
abstract: 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.
authors.affiliation: Department of Plastic Surgery, Kuopio University Hospital, Kuopio, Finland. anthony.papp@kuh.fi
authors.forename: A
authors.initials: A
authors.lastname: Papp
authors.forename: J
authors.initials: J
authors.lastname: Kettunen
authors.forename: H
authors.initials: H
authors.lastname: Miettinen
mesh_terms: 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