Evolution of «the problem of soft tissues» in the field of knee arthroplasty: role and function of flap surgery

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Abstract

The authors have analyzed scientific works on various aspects of the problem of knee arthroplasty connected with the pathology of periarticular soft tissues. One of the main goals was to trace the evolution of flap surgery principles in the treatment of patients with this pathology. It has been stated that today we can trace two sides in «the problem of soft tissues». The first one in the historical perspective is an operative management of complex wounds following knee arthroplasty, and this side has been studied well enough. The second one is the prophylaxis of skin necrosis and wound infection via flap surgery. This problem is still far from solving. Although in the tradition of world orthopedic surgery pedicled flap transfer and free tissue transfer in the complex cases of knee arthroplasty is not an exclusive practice, the methodology of flap surgery demands further development and scientific foundation.

About the authors

D. I. Kutyanov

Vreden Russian Research Institute of Traumatology and Orthopedics

Author for correspondence.
Email: kutianov@rambler.ru
Russian Federation

L. A. Rodomanova

Vreden Russian Research Institute of Traumatology and Orthopedics; Mechnikov North-Western State Medical University

Email: rodomanovaliubov@rambler.ru
Russian Federation

References

  1. Корнилов Н.В., Карпцов В.И., Новоселов К.А., Засульский Ф.Ю. Тотальное эндопротезирование коленного сустава. В кн.: Всероссийская научно-практическая конференция ортопедов и травматологов. Рязань; 1995. с. 50-51
  2. Корнилов Н.В., Новоселов К.А., Каземирский А.В., Куляба Т.А., Корнилов Н.Н., Засульский Ф.Ю., Хрулев В.Н., Печинский А.И., Москалев Э.В. Двенадцатилетний опыт эндопротезирования коленного сустава в Российском НИИ травматологии и ортопедии им. Р.Р.Вредена. Травматология и ортопедия России. 2003;(2):48-50
  3. Корнилов Н.Н., Куляба Т.А. Артропластика коленного сустава. СПб.: РНИИТО им. Р.Р.Вредена; 2012. 228 с
  4. Лоскутов А.Е., Головаха М.Л., Олейник А.Е. Вопросы профилактики осложнений при тотальном эндопротезировании коленного сустава. Ортопедия, травматология и протезирование. 2002;(1):74-8
  5. Махсон Н.Е., Покрывалов А.А. Некоторые аспекты лечения больных с нагноительным процессом после эндопротезирования суставов. Вестник травматологии и ортопедии имени Н.Н.Приорова. 1994;(4):24-6
  6. Москалев В.П., Корнилов Н.В., Шапиро К.И., Григорьев А.М. Медицинские и социальные проблемы эндопротезирования суставов конечностей. СПб.: Морсар-АВ; 2001. 160 с
  7. Тихилов Р.М., Корнилов Н.Н., Куляба Т.А., Сараев А.В., Игнатенко В.Л. Современные тенденции ортопедии: артропластика коленного сустава. Травматология и ортопедия России. 2012;(2):5-15
  8. Шапошников Ю.Г. О некоторых проблемах эндопротезирования суставов. Вестник травматологии и ортопедии имени Н.Н.Приорова. 1994;(4):3-4
  9. Auregan J.C., Bégué T., Tomeno B., Masquelet A.C. Distally-based vastus lateralis muscle flap: a salvage alternative to address complex soft tissue defects around the knee. Orthop Traumatol Surg Res. 2010; 96(2):180-184.
  10. Bégué T., Mebtouche N., Levante S. One-stage procedure for total knee arthroplasty in post-traumatic osteoarthritis of the knee with wound defect. Usefulness of navigation and flap surgery. Knee. 2012;19(6):948-950.
  11. Browne E.Z. Jr., Stulberg B.N., Sood R. The use of muscle flaps for salvage of failed total knee arthroplasty. Br J Plast Surg. 1994;47(1):42-45.
  12. Busfield B.T., Huffman G.R., Nahai F., Hoffman W., Ries M.D. Extended medial gastrocnemius rotational flap for treatment of chronic knee extensor mechanism deficiency in patients with and without total knee arthroplasty. Clin Orthop Relat Res. 2004;(428):190-197.
  13. Casanova D., Hulard O., Zalta R., Bardot J., Magalon G. Management of wounds of exposed or infected knee prostheses. Scand. J. Plast. Reconstr. Surg. Hand Surg. 2001;35(1):71-77.
  14. Casey W.J. 3rd., Rebecca A.M., Krochmal D.J., Kim H.Y., Hemminger B.J., Clarke H.D., Spangehl M.J., Smith A.A. Prophylactic flap reconstruction of the knee prior to total knee arthroplasty in high-risk patients. Ann. Plast. Surg. 2011;66(4):381-387.
  15. Cetrulo C.L. Jr., Shiba T., Friel M.T., Davis B., Buntic R.F., Buncke G.M., Brooks D. Management of exposed total knee prostheses with microvascular tissue transfer. Microsurgery. 2008;28(8):617-622.
  16. Chandrasekhar B., Brien W. Coverage strategies in total joint replacement. Orthop. Clin. North Am. 1993;24(3):523-529.
  17. Cho S.H., Jeong S.T., Park H.B., Hwang S.C., Kim D.H. Two-stage conversion of fused knee to total knee arthroplasty. J. Arthroplasty. 2008;23(3):476-479.
  18. El-Sherbiny M. Pedicled gastrocnemius flap: clinical application in limb sparing surgical resection of sarcoma around the knee region and popliteal fossa. J. Egypt Nat. Canc. Inst. 2008;20(2):196-207.
  19. Fansa H., Plogmeier K., Schenk K., Schneider W. Die Deckung ausgedehnter Weichteildefekte bei infizierten Knieendoprothesen durch Gastrocnemiuslappen [Covering extensive soft tissue defects in infected knee endoprostheses by gastrocnemius flap]. Chururg. 1998;69(11):1238-1243.
  20. Farfalli G.L., Aponte-Tinao L.A., Ayerza M.A., Muscolo D.L., Boland P.J., Morris C.D., Athanasian E.A., Healey J.H. Comparison between constrained and semiconstrained knee allograft-prosthesis composite reconstructions. Sarcoma. 2013;2013:489652. http:// dx.doi.org/10.1155/2013/489652.
  21. Fayomi O., Patel J.V., Percival N. Soft tissue cover for the exposed knee prosthesis. Int. Orthop. 1999;23(1):51-52.
  22. Garbedian S., Sternheim A., Backstein D. Wound healing problems in total knee arthroplasty. Orthopedics. 2011;34(9):e516-8.
  23. Gerwin M., Rothaus K.O., Windsor R.E., Brause B.D., Insall J.N. Gastrocnemius muscle flap coverage of exposed or infected knee prostheses. Clin. Orthop. Relat. Res. 1993;(286):64-70.
  24. Gold D.A., Scott S.C., Scott W.N. Soft tissue expansion prior to arthroplasty in the multiply-operated knee. A new method of preventing catastrophic skin problems. J. Arthroplasty. 1996;11(5):512-521.
  25. Hallock G.G. Salvage of total knee arthroplasty with local fasciocutaneous flaps. J Bone Joint Surg Am. 1990;72(8):1236-9.
  26. Hemphill E.S., Ebert F.R., Muench A.G. The medial gastrocnemius muscle flap in the treatment of wound complications following total knee arthroplasty. Orthopedics. 1992;15(4):477-480.
  27. Henderson J., Clibbon J.J., Haywood R.M. Inadvertent free intercostal artery perforator flaps. J. Plast. Reconstr. Aesthet. Surg. 2009;62(6):e140-141.
  28. Hiemer R., Reynders-Federix P., Bellemans J., Stuyck J., Peeter W. Free myocutaneous latissimus dorsi flap transfer in total knee arthroplasty. J. Plast. Reconstr. Aesthet. Surg. 2009;62(12):1692-1700.
  29. Hill D.S., O'Neill J.K., Toms A., Watts A.M. Pyoderma gangrenosum: a report of a rare complication after knee arthroplasty requiring muscle flap cover supplemented by negative pressure therapy and hyperbaric oxygen. J. Plast. Reconstr. Aesthet. Surg. 2011;64(11):1528-1532.
  30. Huff T.W., Windsor R.E. Difficult exposures in total knee arthroplasty: the femoral peel. Curr. Orthop. Pract. 2008;19(3):272-275.
  31. Hwang S.C., Kong J.Y., Nam D.C., Kim D.H., Park H.B., Jeong S.T., Cho S.H. Revision total knee arthroplasty with a cemented posterior stabilized, condylar constrained or fully constrained prosthesis: a minimum 2-year follow-up analysis. Clin. Orthop. Surg. 2010;2(2):112-120.
  32. Ikeda K., Morishita Y., Nakatani A., Shimozaki E., Matsumoto T., Tomita K. Total knee arthroplasty covered with pedicle peroneal flap. J. Arthroplasty. 1996;11(4):478-481.
  33. Jentzsch T., Erschbamer M., Seeli F., Fuchs B. Extensor function after medial gastrocnemius flap reconstruction of the proximal tibia. Clin. Orthop. Relat. Res. 2013;(471):2333-2339.
  34. Jones R.E. Wound healing in total joint arthroplasty. Orthopedics. 2010;33(Iss. 9):660.
  35. Jung J.A., Kim Y.W., Cheon Y.W. Reverse gracilis muscle flap: an alternative means of skin coverage for recurrent infection after TKA. Knee Surg. Sports Traumatol. Arthrosc. 2012. http://dx.doi.org/10.1007/ s00167-012-2210-4.
  36. Kovacs L., Zimmermann A., Juhnke P., Taskov C., Papadopulos N.A., Biemer E. Weichteildefekte als Komplikation nach Knieendoprothetik [Soft tissue defects as a complication in knee arthroplasty. Surgical strategies for soft tissue reconstruction]. Orthopade. 2006;35(2):162-168.
  37. Laing J.H., Hancock K., Harrison D.H. The exposed total knee replacement prosthesis: a new classification and treatment algorithm. Br. J. Plast. Surg. 1992;45(1):66-69.
  38. Long W.J., Wilson C.H., Scott S.M., Cushner F.D., Scott W.N. 15-year experience with soft tissue expansion in total knee arthroplasty. J. Arthroplasty. 2012;27(3):362-367.
  39. Mahomed N., McKee N., Solomon P., Lahoda L., Gross A.E. Soft-tissue expansion before total knee arthroplasty in arthrodesed joints. A report of two cases. J. Bone Joint Surg. Br. 1994;76(1);88-90.
  40. Manifold S.G., Cushner F.D., Craig-Scott S., Scott W.N. Long-term results of total knee arthroplasty after the use of soft tissue expanders. Clin. Orthop. Relat. Res. 2000;(380):133-139.
  41. Manoso M.W., Boland P.J., Healey J.H., Cordeiro P.G. Limb salvage of infected knee reconstructions for cancer with staged revision and free tissue transfer. Ann. Plast. Surg. 2006;56(5):532-535.
  42. Manzotti A., Pullen C., Cerveri P., Chemello C., Confalonieri N. Post traumatic knee arthritis: Navigated total knee replacement without hardware removal. Knee. 2012. http://dx.doi.org/10.1016/j. knee.2012.06.008.
  43. Markovich G.D., Dorr L.D., Klein N.E., McPherson E.J., Vince K.G. Muscle flaps in total knee arthroplasty. Clin. Orthop. Relat. Res. 1995;(321):122-130.
  44. Mavrogenis A.F., Pala E., Angelini A., Ferraro A., Ruggieri P. Proximal tibial resections and reconstructions: clinical outcome of 225 patients. J. Surg. Oncol. 2013;107(4):335-342.
  45. Menderes A., Demirdover C., Yilmaz M., Vayvada H., Barutcu A. Reconstruction of soft tissue defects following total knee arthroplasty. Knee. 2002;9(3):215-9.
  46. Nahabedian M.Y., Mont M.A., Orlando J.C., Delanois R.E., Hungerford D.S. Operative management and outcome of complex wounds following total knee arthroplasty. Plast. Reconstr. Surg. 1999;104(6):1688-1697.
  47. Nahabedian M.Y., Orlando J.C., Delanois R.E., Mont M.A., Hungerford D.S. Salvage procedures for complex soft tissue defects of the knee. Clin. Orthop. Relat. Res. 1998;(356):119-124.
  48. Nakajima N., Ikeuchi M., Izumi M., Kuriyama M., Nakajima H., Tani T. Successful treatment of wound breakdown caused by pyoderma gangrenosum after total knee arthroplasty. Knee. 2011;18(6):453-455.
  49. Namba R.S., Diao E. Tissue expansion for staged reimplantation of infected total knee arthroplasty. J. Arthroplasty. 1997;12(4):471-474.
  50. Nguyen A.T., Wong C., Mojallal A., Saint-Cyr M. Lateral supragenicular pedicle perforator flap: Clinical results and vascular anatomy. J. Plast. Reconstr. Aesthet. Surg. 2011;64(3):381-385.
  51. Panni A.S., Vasso M., Cerciello S., Salgarello M. Wound complications in total knee arthroplasty. Which flap is to be used? With or without retention of prosthesis? Knee Surg. Sports Traumatol. Arthrosc. 2011;19(7):1060-1068.
  52. Papaioannou K., Lallos S., Mavrogenis A., Vasiliadis E., Savvidou O., Efstathopoulos N. Unilateral or bilateral V-Y fasciocutaneous flaps for the coverage of soft tissue defects following total knee arthroplasty. J. Orthop. Surg. Res. 2010;5:82. http://www.josr-online.com/ content/5/1/82.
  53. Papp A., Kettunen J., Miettinen H. Pedicled gastrocnemius flap in complicated total knee arthroplasty. Scand. J. Surg. 2003;92(2):156-159.
  54. Qadir I., Umer M., Baloch N. Functional outcome of limb salvage surgery with mega-endoprosthetic reconstruction for bone tumors. Arch. Orthop. Trauma Surg. 2012;132(9):1227-1232.
  55. Ries M.D. Skin necrosis after total knee arthroplasty. J Arthroplasty. 2002;17 (Suppl.1):74-77.
  56. Ries M.D., Bozic K.J. Medial gastrocnemius flap coverage for treatment of skin necrosis after total knee arthroplasty. Clin. Orthop. Relat. Res. 2006;(446):186-192.
  57. Russell R.D., Incavo S.J., Klebuc M., Varner K. Management of posttraumatic extensive bone loss and osteomyelitis using a customized articulating knee spacer. Knee. 2008;15(4):268-271.
  58. Schwab J.H., Healey J.H., Athanasian E.A. Wide en bloc extra-articular excision of the elbow for sarcoma with complex reconstruction. J. Bone Joint Surg. Br. 2008;90(1):78-83.
  59. Sönmez E., Kamburoğlu H.O., Aksu A.E., Nasir S.N., Evrenos M.K., Şafak T., Keçik A. Soft-tissue management with immediate free flap transfer in segmental prosthetic replacement of proximal tibia sarcomas. Microsurgery. 2011;31(8):620-627.
  60. Tiengo C., Macchi V., Vigato E., Porzionato A., Stecco C., Azzena B., Morra A., De Caro R. Reversed gracilis pedicle flap for coverage of a total knee prosthesis. J. Bone Joint Surg. Am. 2010;92(7):1640-1646.
  61. Tigani D., Trisolino G., Fosco M., Ben Ayad R., Costigliola P. Two-stage reimplantation for periprosthetic knee infection: Influence of host health status and infecting microorganism. Knee. 2013;20(1):9-18.
  62. Verbist D.E., Boyd T.G., Malkani A.L., Wilhelmi B.J. Case report simultaneous latissimus dorsi myocutaneous flap transfer and revision total knee arthroplasty with allograft extensor mechanism reconstruction: a case report. Eplasty. 2012;12:378-382.
  63. Vince K.G., Abdeen A. Wound problems in total knee arthroplasty. Clin. Orthop. Relat. Res. 2006;(452):88-90.
  64. Whiteside L.A., Nayfeh T.A., Lazear R., Roy M.E. Reinfected revised TKA resolves with an aggressive protocol and antibiotic infusion. Clin. Orthop. Relat. Res. 2011;(470):236-243.
  65. Yuen J.C., Zhou A.T. Free flap coverage for knee salvage. Ann. Plast. Surg. 1996;37(2):158-166.

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