Management of failed total hip arthroplasty with muscle flaps.

Abstract:

:In the small percentage of deep wound infections complicating total hip arthroplasty and recalcitrant to conventional forms of treatment, muscle flaps with or without a cutaneous unit can offer a satisfactory solution. Seven patients (4 male, 3 female) with failed total hip arthroplasty and multimicrobial infection were treated with a rectus femoris or vastus lateralis flap or with combined muscle transposition flaps. The patients had had from 6 to 25 surgical procedures after the failed total hip arthroplasty and before the muscle flap. The mean duration of the postsurgical hospital stay after the muscle flap procedure was thirty-one days. The mean follow-up was thirty months. Two postoperative complications occurred, one of which required partial debridement of the transposed muscle. All patients had healed wounds at follow-up. All patients were weight bearing at follow-up; 3 had been unable to bear weight before the operation. No patient showed incapacity related to the muscle transposition procedure.

journal_name

Ann Plast Surg

authors

Arnold PG,Witzke DJ

doi

10.1097/00000637-198312000-00006

subject

Has Abstract

pub_date

1983-12-01 00:00:00

pages

474-8

issue

6

eissn

0148-7043

issn

1536-3708

journal_volume

11

pub_type

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