Soft Tissue Procedures in the Multiply Operated on Knee Replacement Patient

Gerard A Sheridan; Peter A Lennox; Bassam A Masri

doi:10.1016/j.ocl.2022.03.004

Soft Tissue Procedures in the Multiply Operated on Knee Replacement Patient

Orthop Clin North Am. 2022 Jul;53(3):267-276. doi: 10.1016/j.ocl.2022.03.004.

Authors

Gerard A Sheridan¹, Peter A Lennox², Bassam A Masri³

Affiliations

¹ Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada. Electronic address: sheridga@tcd.ie.
² Department of Surgery, Division of Plastic and Reconstructive Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
³ Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada.

PMID: 35725035
DOI: 10.1016/j.ocl.2022.03.004

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.

Keywords: Incision; Muscle flap; Revision TKA; Sham incision; Soft tissue; ciNPWT.

Publication types

Review

MeSH terms

Arthroplasty, Replacement, Knee*
Humans
Knee Joint / surgery
Negative-Pressure Wound Therapy*
Plastic Surgery Procedures* / methods
Surgical Flaps