Soft Tissue Expansion in Total Knee Arthroplasty Due to Extensive Scarring and Fibrosis in Multiple-Operated Knee.

Hajebian, H Harvak; Burko, Igor; Puyana, Salomon I; Van Wert, Mary K; Chaffin, Abigail; Jansen, David A

Hajebian, H Harvak; Burko, Igor; Puyana, Salomon I; Van Wert, Mary K; Chaffin, Abigail; Jansen, David A.

Afiliação

Hajebian HH; Ochsner Clinic Foundation, Ochsner Health System, Jefferson, LA.
Burko I; Division of Plastic Surgery, Department of Surgery, Tulane University School of Medicine, New Orleans, LA.
Puyana SI; Department of Plastic and Reconstructive Surgery, Ochsner Clinic Foundation, New Orleans, LA.
Van Wert MK; Tulane Medical Center, New Orleans, LA.
Chaffin A; Department of Surgery, Ochsner Clinic Foundation, New Orleans, LA.
Jansen DA; Division of Plastic Surgery, Department of Surgery, Tulane University School of Medicine, New Orleans, LA.

Eplasty ; 22: e33, 2022.

Article em En | MEDLINE | ID: mdl-36000013

ABSTRACT

ABSTRACT

Background:

Inadequate wound closure is a feared complication following total knee arthroplasty (TKA). A knee with a multiple operative history, excessive scarring, and fibrosed surrounding soft tissue presents a significant challenge. In cases with preoperative uncertainty for sufficient soft tissue coverage because of ischemia and tension on closure, soft tissue expansion (STE) has been reported to be an effective tool for optimizing successful closure. Case Report For the case in this report, STE was performed on a knee with multiple scars, potential ischemia, fibrosis, and soft tissue contractures prior to TKA.