Total Knee Arthroplasty Wound Complication Treatment Algorithm: Current Soft Tissue Coverage Options

Nirav H. Amin; Joshua N. Speirs; Matthew J. Simmons; Oren Z. Lermen; Fred D. Cushner; Giles R. Scuderi

doi:10.1016/j.arth.2018.12.016

Total Knee Arthroplasty Wound Complication Treatment Algorithm: Current Soft Tissue Coverage Options

Nirav H. Amin, Joshua N. Speirs, Matthew J. Simmons, Oren Z. Lermen, Fred D. Cushner, Giles R. Scuderi

Orthopedic Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Wound complications associated with soft tissue defects following total knee arthroplasty present challenges for the orthopedic surgeon. The scale of early complications include less morbid problems, such as quickly resolving drainage and small superficial eschars, to persistent drainage and full-thickness tissue necrosis, which may require advanced soft tissue coverage. Methods: This review outlines current wound management strategies and provides an algorithm to help guide treatment and clinical decision-making. Conclusion: A surgeon's understanding of soft tissue coverage options is essential in protecting the knee prosthesis from a deep infection and to obtain an optimal functional outcome.

Original language	English
Pages (from-to)	735-742
Number of pages	8
Journal	Journal of Arthroplasty
Volume	34
Issue number	4
DOIs	https://doi.org/10.1016/j.arth.2018.12.016
State	Published - Apr 2019

ASJC Scopus Subject Areas

Orthopedics and Sports Medicine

Keywords

arthroplasty
draining wound
exposed hardware
flaps
total knee arthroplasty
wound complication

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title = "Total Knee Arthroplasty Wound Complication Treatment Algorithm: Current Soft Tissue Coverage Options",

abstract = "Background: Wound complications associated with soft tissue defects following total knee arthroplasty present challenges for the orthopedic surgeon. The scale of early complications include less morbid problems, such as quickly resolving drainage and small superficial eschars, to persistent drainage and full-thickness tissue necrosis, which may require advanced soft tissue coverage. Methods: This review outlines current wound management strategies and provides an algorithm to help guide treatment and clinical decision-making. Conclusion: A surgeon's understanding of soft tissue coverage options is essential in protecting the knee prosthesis from a deep infection and to obtain an optimal functional outcome.",

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AU - Amin, Nirav H.

AU - Speirs, Joshua N.

AU - Simmons, Matthew J.

AU - Lermen, Oren Z.

AU - Cushner, Fred D.

AU - Scuderi, Giles R.

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AB - Background: Wound complications associated with soft tissue defects following total knee arthroplasty present challenges for the orthopedic surgeon. The scale of early complications include less morbid problems, such as quickly resolving drainage and small superficial eschars, to persistent drainage and full-thickness tissue necrosis, which may require advanced soft tissue coverage. Methods: This review outlines current wound management strategies and provides an algorithm to help guide treatment and clinical decision-making. Conclusion: A surgeon's understanding of soft tissue coverage options is essential in protecting the knee prosthesis from a deep infection and to obtain an optimal functional outcome.

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KW - exposed hardware

KW - flaps

KW - total knee arthroplasty

KW - wound complication

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Total Knee Arthroplasty Wound Complication Treatment Algorithm: Current Soft Tissue Coverage Options

Abstract

ASJC Scopus Subject Areas

Keywords

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