The exposed total knee replacement prosthesis: a new classification and treatment algorithm
The increased frequency of total knee replacement arthroplasty (TKRA) has been reflected in the number of patients with exposed prostheses referred to this unit. An algorithm has been developed to assist in the preoperative assessment of the wound and this has been tested on 25 patients with wound b...
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Published in | British journal of plastic surgery Vol. 45; no. 1; pp. 66 - 69 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Oxford
Elsevier Ltd
1992
Elsevier |
Subjects | |
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Abstract | The increased frequency of total knee replacement arthroplasty (TKRA) has been reflected in the number of patients with exposed prostheses referred to this unit. An algorithm has been developed to assist in the preoperative assessment of the wound and this has been tested on 25 patients with wound breakdown following TKRA. The grade of exposure so derived predicts the most appropriate surgical management. The algorithm, grading system and proposed management are described. |
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AbstractList | The increased frequency of total knee replacement arthroplasty (TKRA) has been reflected in the number of patients with exposed prostheses referred to this unit. An algorithm has been developed to assist in the preoperative assessment of the wound and this has been tested on 25 patients with wound breakdown following TKRA. The grade of exposure so derived predicts the most appropriate surgical management. The algorithm, grading system and proposed management are described. |
Author | Harrison, Douglas H. Hancock, Kevin Laing, Hamish |
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Cites_doi | 10.1016/S0007-1226(77)90035-2 10.3109/17453678709146510 10.2106/00004623-199173030-00011 10.1302/0301-620X.63B3.7263750 10.1097/00006534-198901000-00016 10.1302/0301-620X.68B2.3958017 10.1016/0007-1226(86)90121-9 10.2106/00004623-199072030-00016 10.2106/00004623-199072080-00017 |
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Keywords | Knee Human Treatment Surgery Classification Diseases of the osteoarticular system Total Complication Algorithm Wound |
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References | Rand, Ilstrup (bib9) 1991; 73-A Gault, Quaba (bib2) 1986; 39 Harrison, Saad (bib5) 1977; 30 Johnson, Bannister (bib7) 1986; 68-B Johnson (bib6) 1990; 72-A Hallock (bib4) 1990; 72-A Sanders, O'Neill (bib10) 1981; 63-B McCraw, Dibbell, Carraway (bib8) 1977; 60 (1991). Personal communication. Bengtson, Carlsson, Relander, Knutson, Lidgren (bib1) 1987; 58 Greenberg, LaRossa, Lotke, Murphy, Noone (bib3) 1989; 83 Johnson (10.1016/0007-1226(92)90120-M_bib7) 1986; 68-B Greenberg (10.1016/0007-1226(92)90120-M_bib3) 1989; 83 Harrison (10.1016/0007-1226(92)90120-M_bib5) 1977; 30 Gault (10.1016/0007-1226(92)90120-M_bib2) 1986; 39 Sanders (10.1016/0007-1226(92)90120-M_bib10) 1981; 63-B Hallock (10.1016/0007-1226(92)90120-M_bib4) 1990; 72-A Johnson (10.1016/0007-1226(92)90120-M_bib6) 1990; 72-A Rand (10.1016/0007-1226(92)90120-M_bib9) 1991; 73-A Bengtson (10.1016/0007-1226(92)90120-M_bib1) 1987; 58 10.1016/0007-1226(92)90120-M_bib11 McCraw (10.1016/0007-1226(92)90120-M_bib8) 1977; 60 |
References_xml | – volume: 72-A start-page: 1236 year: 1990 ident: bib4 article-title: Salvage of total knee arthroplasty with local fasciocutaneous flaps publication-title: Journal of Bone and Joint Surgery (American) contributor: fullname: Hallock – volume: 58 start-page: 662 year: 1987 ident: bib1 article-title: Treatment of the exposed knee prosthesis publication-title: Acta Orthopaedica Scandinavica contributor: fullname: Lidgren – volume: 83 start-page: 85 year: 1989 ident: bib3 article-title: Salvage of jeopardized total-knee prosthesis: the role of the gastrocnemius muscle flap publication-title: Plastic and Reconstructive Surgery contributor: fullname: Noone – volume: 68-B start-page: 289 year: 1986 ident: bib7 article-title: The outcome of infected arthroplasty of the knee publication-title: Journal of Bone and Joint Surgery (British) contributor: fullname: Bannister – volume: 60 start-page: 341 year: 1977 ident: bib8 article-title: Clinical definition of independent myocutaneous vascular territories publication-title: Plastic and Reconstructive Surgery contributor: fullname: Carraway – volume: 39 start-page: 505 year: 1986 ident: bib2 article-title: Is flap cover of exposed metalwork worthwhile? A review of 28 cases publication-title: British Journal of Plastic Surgery contributor: fullname: Quaba – volume: 30 start-page: 54 year: 1977 ident: bib5 article-title: The sliding transposition flap: its application to leg defects publication-title: British Journal of Plastic Surgery contributor: fullname: Saad – volume: 73-A start-page: 397 year: 1991 ident: bib9 article-title: Survivorship analysis of total knee arthroplasty: cumulative rates of survival of 9200 total knee arthroplasties publication-title: Journal of Bone and Joint Surgery (American) contributor: fullname: Ilstrup – volume: 72-A start-page: 421 year: 1990 ident: bib6 article-title: The effect of continuous passive motion on wound-healing and joint mobility after knee arthroplasty publication-title: Journal of Bone and Joint Surgery (American) contributor: fullname: Johnson – volume: 63-B start-page: 383 year: 1981 ident: bib10 article-title: The gastrocnemius myocutaneous flap used as cover for the exposed knee prosthesis publication-title: Journal of Bone and Joint Surgery (British) contributor: fullname: O'Neill – volume: 30 start-page: 54 year: 1977 ident: 10.1016/0007-1226(92)90120-M_bib5 article-title: The sliding transposition flap: its application to leg defects publication-title: British Journal of Plastic Surgery doi: 10.1016/S0007-1226(77)90035-2 contributor: fullname: Harrison – volume: 58 start-page: 662 year: 1987 ident: 10.1016/0007-1226(92)90120-M_bib1 article-title: Treatment of the exposed knee prosthesis publication-title: Acta Orthopaedica Scandinavica doi: 10.3109/17453678709146510 contributor: fullname: Bengtson – ident: 10.1016/0007-1226(92)90120-M_bib11 – volume: 73-A start-page: 397 year: 1991 ident: 10.1016/0007-1226(92)90120-M_bib9 article-title: Survivorship analysis of total knee arthroplasty: cumulative rates of survival of 9200 total knee arthroplasties publication-title: Journal of Bone and Joint Surgery (American) doi: 10.2106/00004623-199173030-00011 contributor: fullname: Rand – volume: 63-B start-page: 383 year: 1981 ident: 10.1016/0007-1226(92)90120-M_bib10 article-title: The gastrocnemius myocutaneous flap used as cover for the exposed knee prosthesis publication-title: Journal of Bone and Joint Surgery (British) doi: 10.1302/0301-620X.63B3.7263750 contributor: fullname: Sanders – volume: 83 start-page: 85 year: 1989 ident: 10.1016/0007-1226(92)90120-M_bib3 article-title: Salvage of jeopardized total-knee prosthesis: the role of the gastrocnemius muscle flap publication-title: Plastic and Reconstructive Surgery doi: 10.1097/00006534-198901000-00016 contributor: fullname: Greenberg – volume: 68-B start-page: 289 year: 1986 ident: 10.1016/0007-1226(92)90120-M_bib7 article-title: The outcome of infected arthroplasty of the knee publication-title: Journal of Bone and Joint Surgery (British) doi: 10.1302/0301-620X.68B2.3958017 contributor: fullname: Johnson – volume: 60 start-page: 341 year: 1977 ident: 10.1016/0007-1226(92)90120-M_bib8 article-title: Clinical definition of independent myocutaneous vascular territories publication-title: Plastic and Reconstructive Surgery contributor: fullname: McCraw – volume: 39 start-page: 505 year: 1986 ident: 10.1016/0007-1226(92)90120-M_bib2 article-title: Is flap cover of exposed metalwork worthwhile? A review of 28 cases publication-title: British Journal of Plastic Surgery doi: 10.1016/0007-1226(86)90121-9 contributor: fullname: Gault – volume: 72-A start-page: 421 year: 1990 ident: 10.1016/0007-1226(92)90120-M_bib6 article-title: The effect of continuous passive motion on wound-healing and joint mobility after knee arthroplasty publication-title: Journal of Bone and Joint Surgery (American) doi: 10.2106/00004623-199072030-00016 contributor: fullname: Johnson – volume: 72-A start-page: 1236 year: 1990 ident: 10.1016/0007-1226(92)90120-M_bib4 article-title: Salvage of total knee arthroplasty with local fasciocutaneous flaps publication-title: Journal of Bone and Joint Surgery (American) doi: 10.2106/00004623-199072080-00017 contributor: fullname: Hallock |
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SubjectTerms | Algorithms Biological and medical sciences Humans Knee - pathology Knee - surgery Knee Prosthesis Medical sciences Orthopedic surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps - methods Surgical Wound Dehiscence - pathology Surgical Wound Dehiscence - surgery |
Title | The exposed total knee replacement prosthesis: a new classification and treatment algorithm |
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