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Exposed endoprosthesis. Management protocol using muscle and myocutaneous flap coverage.
J J Eckardt1, M A Lesavoy, T J Dubrow
1Division of Orthopaedic Surgery, UCLA Medical Center, Torrance 90024.
Clinical Orthopaedics and Related Research
|February 1, 1990
Summary
Orthopedic patients with exposed prostheses due to wound dehiscence can avoid implant removal. A debridement, irrigation, and muscle flap procedure successfully retained implants and extremities in all cases.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
- Oncology
Background:
- A common orthopedic principle dictates removing implants for dehiscent wounds over prostheses.
- Late wound dehiscence after joint replacement or limb salvage surgery presents a significant management challenge.