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Management of Soft Tissue Defects

  • Giles R. Scuderi
  • Michael P. NettEmail author
  • Germán A. Norambuena
  • H. John CooperEmail author
  • Oren LermanEmail author
  • Irena Karanetz
Chapter

Abstract

Wound complications following total knee arthroplasty (TKA) can be a serious and challenging problem. As the number of TKAs increases annually, the number of complications is expected to rise. Impaired wound healing or soft tissue compromise can lead to more devastating complications, such as extensor mechanism disruption and infections. An organized approach to wound complications includes identification of the lesion, classifying the severity and depth of the defect, and initiating appropriate treatment [1]. Optimal treatment requires a comprehensive interdisciplinary approach with collaboration between orthopedic surgery and plastic surgery. Critical for a successful outcome and implant retention is timely reaction to the appearance of a wound problem and restoration of complete soft tissue coverage [2].

Keywords

Soft tissue defects Negative-pressure therapy with instillation Closed incision negative-pressure therapy Proximal tibial dissection 

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© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Northwell Health Orthopedic InstituteNew YorkUSA
  2. 2.Adult Reconstruction, Orthopedic SurgeryNorthwell Health System @ Southside HospitalBay ShoreUSA
  3. 3.Orthopedic DepartmentUniversity of ChileSantiagoChile
  4. 4.Division of Hip and Knee Reconstruction, Department of Orthopedic SurgeryColumbia University Medical Center, New York Presbyterian HospitalNew YorkUSA
  5. 5.Department of Plastic SurgeryLenox Hill Hospital, Northwell Health SystemNew YorkUSA
  6. 6.Division of Plastic and Reconstructive SurgeryHofstra Northwell School of MedicineNew Hyde ParkUSA

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