Skip to main content
Top
Published in: European Journal of Plastic Surgery 6/2004

01-12-2004 | Original Paper

Microvascular soft tissue reconstruction after complicated talocrural arthroplasty

Authors: E. Tukiainen, A. Koski

Published in: European Journal of Plastic Surgery | Issue 6/2004

Login to get access

Abstract

Seven patients were referred to our unit during a 17-month period because of soft tissue problems 2–4 weeks after a talocrural arthroplasty (TCA). The infection was superficial in one and deep in six cases. In all patients the area was revised and a microvascular flap reconstruction was performed. In four cases the prosthesis was left in place and in two TC fusions were done. The flap was selected according to size and shape of the defect. Four partial latissimus dorsi flaps (LD), two gracilis free flaps, and one radial forearm flap (RF) were used. Four of the seven TCAs could be salvaged and no amputations were needed.
Literature
1.
go back to reference Conti SF, Wong YS (2001) Complications of total ankle replacement. Clin Orthop 391:105–114PubMed Conti SF, Wong YS (2001) Complications of total ankle replacement. Clin Orthop 391:105–114PubMed
2.
go back to reference Kitaoka HB, Patzer GL (1996) Clinical results of the Mayo total ankle arthroplasty. J Bone Joint Surg 78:1658–1664PubMed Kitaoka HB, Patzer GL (1996) Clinical results of the Mayo total ankle arthroplasty. J Bone Joint Surg 78:1658–1664PubMed
3.
go back to reference Steinberg DR, Steinberg ME (2000) The early history of arthroplasty in the United States. Clin Orthop 374:55–89CrossRefPubMed Steinberg DR, Steinberg ME (2000) The early history of arthroplasty in the United States. Clin Orthop 374:55–89CrossRefPubMed
4.
go back to reference Fink B, Mizel MS (2002) What’s new in foot and ankle surgery. J Bone Joint Surg Am 84-A:504–509 Fink B, Mizel MS (2002) What’s new in foot and ankle surgery. J Bone Joint Surg Am 84-A:504–509
5.
go back to reference Easley ME, Vertullo CJ, Urban WC, Nunley JA (2002) Total ankle arthroplasty. J Am Acad Orthop Surg 10:157–167PubMed Easley ME, Vertullo CJ, Urban WC, Nunley JA (2002) Total ankle arthroplasty. J Am Acad Orthop Surg 10:157–167PubMed
6.
go back to reference Coughlin MJ (2002) The Scandinavian total ankle replacement prosthesis. AAOS Instructional course lectures, volume 51 Coughlin MJ (2002) The Scandinavian total ankle replacement prosthesis. AAOS Instructional course lectures, volume 51
7.
go back to reference Koski A, Tukiainen E, Suominen S, Asko-Seljavaara S (2003) Reconstruction of iatrogenic skin defects of the Achilles tendon region: an analysis of 25 consecutive patients. Eur J Plast Surg 26:298–303CrossRef Koski A, Tukiainen E, Suominen S, Asko-Seljavaara S (2003) Reconstruction of iatrogenic skin defects of the Achilles tendon region: an analysis of 25 consecutive patients. Eur J Plast Surg 26:298–303CrossRef
8.
go back to reference Hallock GG (2000) Utility of both muscle and fascia flaps is severe lower extremity trauma. J Trauma 2000:913–917 Hallock GG (2000) Utility of both muscle and fascia flaps is severe lower extremity trauma. J Trauma 2000:913–917
9.
go back to reference Heitman C, Levin LS (2003) The orthoplastic approach for management of severely traumatized foot and ankle. J Trauma 54:379–390PubMed Heitman C, Levin LS (2003) The orthoplastic approach for management of severely traumatized foot and ankle. J Trauma 54:379–390PubMed
Metadata
Title
Microvascular soft tissue reconstruction after complicated talocrural arthroplasty
Authors
E. Tukiainen
A. Koski
Publication date
01-12-2004
Publisher
Springer-Verlag
Published in
European Journal of Plastic Surgery / Issue 6/2004
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-004-0684-0

Other articles of this Issue 6/2004

European Journal of Plastic Surgery 6/2004 Go to the issue

Forthcoming Meetings & Events

Forthcoming meetings & events

Master Class in Plastic Surgery

Foot morbidity following toe to hand transfers