Saphenous Neurocutaneous Flap and Cement Spacer Replacement in the Management of Arthroplasty of an Infected Knee with a Soft Tissue Coverage Defect. Case Report

Authors

DOI:

https://doi.org/10.15417/issn.1852-7434.2021.86.4.1194

Keywords:

Neurocutaneous saphenous flap, soft tissue defects, tissue necrosis, knee arthroplasty

Abstract

Soft tissue defects in the setting of periprosthetic joint infection represent serious problems for orthopedic surgeons following total joint replacement. This report aims to show our experience using the proximal-based saphenous neurocutaneous flap for the reconstruction of a wound defect in the treatment of a periprosthetic knee infection. A new cement spacer was placed and a neurocutaneous saphenous flap was performed in the same stage.

Conclusions: Soft tissue defects around the knee can be effectively solved with the neurocutaneous saphenous flap, which provides adequate coverage to this joint within the context of infected arthroplasty.

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Author Biographies

  • Tamara Dainotto, Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

    Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

  • Gonzalo Viollaz, Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

    Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

  • Hernán del Sel, Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

    Medical Director, Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

    Current President of the World Association against Infection in Orthopaedics and Trauma (WAIOT)

     

  • Fernando Adrián Lopreite, Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

    Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires,
    Autonomous City of Buenos Aires, Argentina

    Current President of the Asociación Argentina para el Estudio de la Cadera y la Rodilla (ACARO).

References

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Published

2021-08-19

Issue

Section

Case Presentations

How to Cite

Saphenous Neurocutaneous Flap and Cement Spacer Replacement in the Management of Arthroplasty of an Infected Knee with a Soft Tissue Coverage Defect. Case Report. (2021). Revista de la Asociación Argentina de Ortopedia Y Traumatología, 86(4), 529-536. https://doi.org/10.15417/issn.1852-7434.2021.86.4.1194

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