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Authors Rao AJ, Kempton SJ, Erickson BJ, Levine BR, Rao VK
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Journal J Arthroplasty Volume: 31 Issue: 7 Pages: 1529-38
Publish Date 2016 Jul
PubMed ID 27038863

Total knee arthroplasty is a successful operation for treatment of arthritis. However, devastating wound complications and infections can compromise the knee joint, particularly in revision situations.Soft tissue loss associated with poor wound healing and multiple operations can necessitate the need for reconstruction for wound closure and protection of the prosthesis.Coverage options range from simple closure methods to complex reconstruction, including delayed primary closure, healing by secondary intention, vacuum-assisted closure, skin grafting, local flap coverage, and distant microsurgical tissue transfer.Understanding the advantages and pitfalls of each reconstructive option helps to guide treatment and avoid repeated operations and potentially devastating consequences such as knee arthrodesis or amputation. Copyright © 2016 The Board of Regents of the University of Wisconsin System