Wound problems in total knee arthroplasty.

Abstract:

:Wound problems can often be prevented with careful planning. When transverse incisions are used for knee surgery many years prior to any anticipated knee arthroplasty, no major problems are typically encountered with a conventional, anterior longitudinal incision. We recommend lateral incisions (eg, after a previous lateral tibial plateau fracture) be reused for TKA. When confronted with multiple previous incisions, surgeons would best use the most recently healed or the most lateral. We prefer soft tissue reconstruction with expanders or a gastrocnemius flap if there are multiple incisions, if the skin and scar tissue are adherent to underlying tissue, or if wound healing seems questionable. Deep infection must be determined by aspiration. When present, we believe treatment must include irrigation, débridement, polyethylene exchange if acute, and resection arthroplasty if chronic. Poor wound healing is a potentially devastating complication that may result in multiple reconstructive procedures and even amputation. Early recognition followed by expeditious débridement and soft tissue reconstruction should be used for managing wound complications after TKA.

journal_name

Clin Orthop Relat Res

authors

Vince KG,Abdeen A

doi

10.1097/01.blo.0000238821.71271.cc

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

88-90

eissn

0009-921X

issn

1528-1132

pii

00003086-200611000-00017

journal_volume

452

pub_type

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