Article

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 soft-tissue 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.

Langue : ANGLAIS