15-Year Experience With Soft Tissue Expansion in Total Knee Arthroplasty

Abstract Preoperative identification of a knee at risk for wound healing after total knee arthroplasty (TKA) allows the surgeon to apply a soft tissue expansion technique to expand the available tissue for closure and healing after TKA. A consecutive series of 64 soft tissue expansions were performe...

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Bibliographic Details
Published inThe Journal of arthroplasty Vol. 27; no. 3; pp. 362 - 367
Main Authors Long, William J., MD, FRCSC, Wilson, Charles H., MD, Scott, Susan M. Craig, MD, Cushner, Fred D., MD, Scott, W. Norman, MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.03.2012
Subjects
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee - methods
Female
Humans
Male
Middle Aged
Orthopedics
Retrospective Studies
soft tissue expansion
Time Factors
Tissue Expansion
TKA
wound healing
soft tissue expansion
wound healing
TKA
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Summary:Abstract Preoperative identification of a knee at risk for wound healing after total knee arthroplasty (TKA) allows the surgeon to apply a soft tissue expansion technique to expand the available tissue for closure and healing after TKA. A consecutive series of 64 soft tissue expansions were performed for 59 cases of conflicting incisions and 5 cases of severe angular deformity, with a mean of 3.5 previous surgeries. An average 2.1 expanders were used for a total volume of 359 mL. Expansion took a mean of 70 days during which 14 minor and 7 major complications occurred. There were 8 post-TKA complications, 5 of which required a return to the operating room. Soft tissue expansion is a safe, prophylactic technique that provides adequate coverage in this complex subset of patients.
Bibliography:ObjectType-Article-1
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ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2011.06.012