title: Vacuum-assisted closure for skin necrosis after revision total knee arthroplasty.
abstract: Although skin necrosis following total knee arthroplasty or revision total knee arthroplasty is rare, it may cause severe complications. Skin changes begin with superficial infections and may result in removal of the prosthesis. Treatment of skin necrosis is an important factor, which determines the prognosis of the prosthesis. Several techniques have been defined for sufficient closure. In this article, we present the case of a patient who was treated for skin necrosis that developed after knee revision arthroplasty, using serial debridement, convergence sutures and an intermittent vacuum-assisted closure device (KCI Inc., San Antonio, TX).
authors.affiliation: Department of Orthopedics and Traumatology, Abant Izzet Baysal University, Bolu, Turkey. hakansarman@yahoo.com.
authors.forename: Hakan
authors.initials: H
authors.lastname: Sarman
authors.affiliation: Department of Orthopedics and Traumatology, Kocaeli University, Kocaeli, Turkey.
authors.forename: Umit S
authors.initials: US
authors.lastname: Muezzinoglu
authors.affiliation: Department of Orthopedics and Traumatology, Kocaeli University, Kocaeli, Turkey.
authors.forename: Kaya
authors.initials: K
authors.lastname: Memisoglu
authors.affiliation: Department of Orthopedics and Traumatology, Kocaeli University, Kocaeli, Turkey.
authors.forename: Tuncay
authors.initials: T
authors.lastname: Baran
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D003646:Debridement; D005260:Female; D006801:Humans; D009336:Necrosis; D054843:Negative-Pressure Wound Therapy; D012086:Reoperation; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000473:pathology / Q000628:therapy*
keywords: Revision total knee arthroplasty; Skin necrosis; Therapy; Vacuum-assisted closure