Arch Plast Surg.
2018 May;45(3):280-283. 10.5999/aps.2017.00899.
Two sequential free flaps for coverage of a total knee implant
- Affiliations
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- 1Sweng Plastic Aesthetic and Reconstructive and Surgery, Singapore, Singapore. sweng8@gmail.com
- 2Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore.
- KMID: 2413026
- DOI: http://doi.org/10.5999/aps.2017.00899
Abstract
- Knee revision arthroplasty following peri-prosthetic joint infections is a formidable challenge. Patients are at a high risk of recurrent infection, and the soft tissue over the revised implant is often of questionable quality. Flap reconstruction has improved the salvage rates of infected arthroplasties, and should be considered in all cases of revision arthroplasty. We present a challenging case requiring staged reconstruction with two free latissimus dorsi flaps after the initial use of a medial gastrocnemius flap.
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