The salvage of knee-exposed prosthesis using neurofasciocutaneous sural flap

L. Vaienti, A. Menozzi, J. Lonigro, M. Soresina, G. Ravasio

Research output: Contribution to journalArticlepeer-review

Abstract

Prosthetic exposure is a severe complication of total knee arthroplasty. Many factors are responsible for failed wound healing, and successful salvage of total knee arthroplasty requires early identification of infection, antecedent events related with wound healing failure, aggressive surgical debridement and early appropriate softtissue coverage with local skin, fasciocutaneous, muscle, neurocutaneous or perforator flaps. In this report, we present 15 cases of exposed knee prosthesis treated with island sural neurocutaneous flap. Follow-up showed favorable clinical outcomes: all flaps survived and only two cases of hematoma and one of aseptic phystula occurred. According to our results, the island neurofasciocutaneous sural flap represents a sensate reconstructive alternative for providing fine and dependable soft tissue for covering skin defects around the knee.

Original languageEnglish
Pages (from-to)33-40
Number of pages8
JournalMusculoskeletal Surgery
Volume94
Issue number1
DOIs
Publication statusPublished - 2010

Keywords

  • Knee arthroplasty
  • Prosthetic exposure
  • Skin necrosis
  • Sural flap

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery
  • Medicine(all)

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