One-staged surgical management of large-scale skin necrosis after total knee arthroplasty: a case report (CARE-compliant).

ABSTRACT: Total knee arthroplasty (TKA) is a common surgical procedure performed in clinical settings. However, postoperative skin necrosis surrounding the incision can be a devastating complication. A large area of black necrotic skin was observed at the incision and anterolateral side of the right knee in a 78-year-old female patient after TKA. Skin necrosis surrounding the incision site was confirmed. Deep joint infection was excluded by synovial fluid analysis. We performed extensive debridement, joint capsule was opened, the knee prosthesis was exposed and partial synovectomy was performed. Then massive soft tissue defect (about 18 cm × 10 cm) was developed with exposed implants. After irrigation, the medial and lateral gastrocnemius muscle flaps were both released and transferred to completely

SUBMITTER: Huang K 

PROVIDER: S-EPMC7333138 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature