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CC BY-NC 4.0 · Arch Plast Surg 2018; 45(03): 280-283
DOI: 10.5999/aps.2017.00899
Case Report

Two sequential free flaps for coverage of a total knee implant

Siew Weng Ng
Sweng Plastic Aesthetic and Reconstructive and Surgery, Singapore, Singapore
,
Hui Chai Fong
Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore
,
Bien-Keem Tan
Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore
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Knee revision arthroplasty following peri-prosthetic joint infections is a formidable challenge. Patients are at a high risk of recurrent infection, and the soft tissue over the revised implant is often of questionable quality. Flap reconstruction has improved the salvage rates of infected arthroplasties, and should be considered in all cases of revision arthroplasty. We present a challenging case requiring staged reconstruction with two free latissimus dorsi flaps after the initial use of a medial gastrocnemius flap.

Keywords

Knee prosthesis - Free tissue flaps - Infection - Knee salvage - Latissimus dorsi flap


Publication History

Received: 03 May 2017

Accepted: 19 August 2017

Article published online:
03 April 2022

© 2018. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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