AI Article Synopsis
- Total knee arthroplasty can be complicated by previous skin incisions, posing risks like skin necrosis and joint infections.
- Choosing the right incision is crucial to prevent serious complications during surgery.
- The article argues against traditional incision practices, showing that using an existing lateral incision with full-thickness skin flaps can help avoid skin necrosis.
Article Abstract
Total knee arthroplasty in the setting of multiple previous skin incisions can be a complex clinical scenario for the arthroplasty surgeon. Inappropriate incision choice can lead to devastating complications such as skin necrosis and its sequelae, including periprosthetic joint infection and the need for flap reconstruction. It is therefore critical for knee surgeons to understand the blood supply to the anterior aspect of the knee to prevent adverse outcomes. This article challenges some of the long-held dogma regarding incisional management for total knee arthroplasty and utilizes case examples to demonstrate that skin necrosis between parallel incisions can be avoided by utilizing an existing lateral incision with full-thickness subfascial skin flaps.
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Source |
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| http://dx.doi.org/10.1016/j.arth.2024.10.062 | DOI Listing |
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