Salvage of prosthetic grafts and joints in the lower extremity

Infection or exposure of prosthetic joints and vascular conduits continues to challenge the reconstructive surgeon. Techniques of regional muscle flaps, fasciocutaneous flaps, and free microvascular transfers have added much to the management of this problem, often converting a hopeless situation to a salvageable one. Close cooperation between the plastic, vascular, and orthopedic surgeons optimizes the chance for a satisfactory outcome.