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Pedicled gastrocnemius flap in complicated total knee arthroplasty
A Papp1, J Kettunen, H Miettinen
1Department of Plastic Surgery, Kuopio University Hospital, Kuopio, Finland. anthony.papp@kuh.fi
Background And Aims:
The aim of this study was to evaluate the results of complicated total knee arthroplasty operations treated with radical wound revision and a pedicled gastrocnemius muscle flap.
Material And Methods:
Retrospective analysis in a university hospital during a five-year-period.
Results:
Wound revision, debridement of the knee joint, replacing tibial plastics and a unilateral pedicled gastrocnemius muscle flap operation was performed to 10 patients after complicated total knee arthroplasty. After a median follow up time of 11.5 months 8/10 total knee arthroplasty joints were saved.
Conclusions:
As much as 80% of patients could save their knee joint with this treatment protocol. Treatment of this problem needs good collaboration with orthopaedic and plastic surgeons.