Abstract
Reconstructive surgery was performed in 18 knee arthroplasties because of wound-healing problems or skin necrosis. The procedure, after debridement, included myocutaneous, muscle flap, and split-skin grafts. Revision was necessary in 6 cases. After 1-17 years, 6 patients had died, 2 had had a low femur amputation, and 5 had had an arthrodesis. Five patients had retained the prosthesis, although 3 of them had considerable pain and poor mobility; only 2 patients were tolerably painfree and had acceptable mobility. Patients with an exposed knee endoprosthesis should be referred to centers with special competence in plastic reconstructive surgery.
MeSH terms
-
Adult
-
Aged
-
Aged, 80 and over
-
Amputation, Surgical / statistics & numerical data
-
Anti-Bacterial Agents / therapeutic use
-
Arthrodesis / statistics & numerical data
-
Debridement / methods
-
Debridement / standards
-
Denmark / epidemiology
-
Female
-
Follow-Up Studies
-
Gait
-
Humans
-
Knee Prosthesis / adverse effects*
-
Male
-
Middle Aged
-
Pain / epidemiology
-
Pain / etiology
-
Recurrence
-
Referral and Consultation
-
Reoperation / methods
-
Reoperation / standards*
-
Skin Transplantation / methods
-
Skin Transplantation / standards
-
Surgery, Plastic / methods
-
Surgery, Plastic / standards*
-
Surgical Flaps / methods
-
Surgical Flaps / standards
-
Surgical Wound Infection / drug therapy
-
Surgical Wound Infection / epidemiology
-
Surgical Wound Infection / surgery*