Soft Tissue Procedures in the Multiply Operated on Knee Replacement Patient.

Orthop Clin North Am

Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada.

Published: July 2022

AI Article Synopsis

  • In knee replacements with multiple previous surgeries, no single soft tissue procedure stands out as the best.
  • The most research supports the use of muscle flaps, which will remain a primary technique for surgeons.
  • While closed incision negative pressure wound therapy shows promise, more extensive studies are needed, and a combination of techniques tailored to individual patients seems to be the most effective approach.

Article Abstract

In the multiply operated on knee replacement, no one soft tissue procedure is vastly superior to another. The most extensive literature available is in relation to muscle flaps, which will continue to be the workhorse technique for orthopedic and plastic reconstructive surgeons for the foreseeable future. Closed incision negative pressure wound therapy may prove to be a superior method in time but further large-scale studies are required to expand our understanding of this technique. The continued use of a combination of these techniques, tailored to the specific patient, is likely to be the best approach to the multiply operated on knee into the future.

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Source
http://dx.doi.org/10.1016/j.ocl.2022.03.004DOI Listing

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