Abstract:
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: In cases of uncertain soft tissue coverage in TKA, the use of STE can be a useful method in creating adequate wound closure.
摘要:
未经证实:全膝关节置换术(TKA)后,伤口闭合不充分是一种令人恐惧的并发症。有多次手术史的膝盖,过度的疤痕,和周围软组织纤维化提出了重大挑战。如果由于闭合时的缺血和张力而导致术前不确定足够的软组织覆盖率,据报道,软组织扩张术(STE)是优化成功闭合的有效工具。
UASSIGNED:对于本报告中的案例,STE是在有多个疤痕的膝盖上进行的,潜在缺血,纤维化,和TKA前的软组织挛缩。
未经授权:在TKA软组织覆盖不确定的情况下,使用STE可以是产生足够的伤口闭合的有用方法。