Vastus lateralis muscle flap for infected hips after resection arthroplasty.
We evaluated the potential of a vastus lateralis muscle flap in controlling infection after resection arthroplasty of the hip. We retrospectively reviewed 119 patients with 120 chronic infections after resection arthroplasty treated with this procedure. The flap was fixed with Mitek anchors in the acetabular cavity. The mean duration of infection after resection before the muscle flap procedure was 6.5 months (2 to 13). The patients had previously undergone a mean of 4.9 operations (2 to 25). In all patients the infected cavity was the origin of the persistent infection. The mean follow-up was for 2.6 years (1.0 to 4.7). No patient had recurrent infection post-operatively and all had an improvement in the pain and better quality of life.
Department Septic Surgery, Bone, Joint and Prostheses Infections, BG Trauma Centre, Ludwigshafen, Ludwig-Guttmann-Strasse 13, 67071 Ludwigshafen, Germany. arnold@drsuda.com
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods; D002908:Chronic Disease; D005260:Female; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000601:surgery*; D052097:Quadriceps Muscle / Q000637:transplantation*; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome