Matches in SemOpenAlex for { <https://semopenalex.org/work/W4384283416> ?p ?o ?g. }
Showing items 1 to 90 of
90
with 100 items per page.
- W4384283416 endingPage "136" @default.
- W4384283416 startingPage "129" @default.
- W4384283416 abstract "Background Prosthetic joint infection (PJI) is a challenging complication of knee arthroplasty, which can require amputation in severe cases. This study analyzes the utility of flap reconstruction in PJIs requiring hardware removal and extensive soft tissue debridement. Methods This was a retrospective analysis of patients who were treated according to a multistage extremity salvage protocol between 2018 and 2022. The protocol involved at least 3 planned surgeries including (1) hardware removal with antibiotic spacer placement and soft tissue debridement, (2) spacer exchange with flap coverage, and (3) hardware reimplantation with simultaneous or delayed extensor mechanism reconstruction. All patients had large periprosthetic tissue defects that would necessitate an amputation if not reconstructed. Primary outcomes were extremity salvage and successful defect coverage. Results Fifty-two patients (25 female) underwent 62 reconstructions (52 primary, 10 salvage). Flap techniques included pedicled muscular (n = 32), fasciocutaneous (n = 4), combined muscular and fasciocutaneous (n = 2), and free flaps (n = 24). Overall rate of successful defect coverage was 95% (98% in primary and 80% in salvage reconstructions). At a median follow-up of 11 months, 41 patients completed the treatment protocol with a 68% (n = 28) extremity salvage rate (reimplantation arthroplasty, n = 15; permanent knee fusion, n = 13). On the multivariate model including demographic factors, defect size, and flap type, no single factor independently predicted limb salvage. Conclusions Alongside intensive orthopedic surgical treatment, flap coverage may aid in extremity salvage in severe knee PJIs by reestablishing healthy soft tissue coverage and allowing reimplantation arthroplasty. We recommend a multispecialty approach including plastic surgeons for this challenging condition." @default.
- W4384283416 created "2023-07-15" @default.
- W4384283416 creator A5010120121 @default.
- W4384283416 creator A5019816156 @default.
- W4384283416 creator A5033608584 @default.
- W4384283416 creator A5038810250 @default.
- W4384283416 creator A5070028926 @default.
- W4384283416 date "2023-07-01" @default.
- W4384283416 modified "2023-09-24" @default.
- W4384283416 title "The Utility of Flap Coverage for Limb Salvage in Patients With Severe Prosthetic Joint Infections of the Knee Requiring Implant Exchange" @default.
- W4384283416 cites W1722123554 @default.
- W4384283416 cites W1983255179 @default.
- W4384283416 cites W2012083880 @default.
- W4384283416 cites W2012956664 @default.
- W4384283416 cites W2027636280 @default.
- W4384283416 cites W2034009509 @default.
- W4384283416 cites W2040727921 @default.
- W4384283416 cites W2055220708 @default.
- W4384283416 cites W2079575346 @default.
- W4384283416 cites W2085116200 @default.
- W4384283416 cites W2144156731 @default.
- W4384283416 cites W2157879812 @default.
- W4384283416 cites W2169321533 @default.
- W4384283416 cites W2398153046 @default.
- W4384283416 cites W2444389273 @default.
- W4384283416 cites W2599094449 @default.
- W4384283416 cites W2777946524 @default.
- W4384283416 cites W2803979845 @default.
- W4384283416 cites W3007948155 @default.
- W4384283416 cites W3031421470 @default.
- W4384283416 cites W3203742239 @default.
- W4384283416 cites W2149811711 @default.
- W4384283416 doi "https://doi.org/10.1097/sap.0000000000003600" @default.
- W4384283416 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37450871" @default.
- W4384283416 hasPublicationYear "2023" @default.
- W4384283416 type Work @default.
- W4384283416 citedByCount "0" @default.
- W4384283416 crossrefType "journal-article" @default.
- W4384283416 hasAuthorship W4384283416A5010120121 @default.
- W4384283416 hasAuthorship W4384283416A5019816156 @default.
- W4384283416 hasAuthorship W4384283416A5033608584 @default.
- W4384283416 hasAuthorship W4384283416A5038810250 @default.
- W4384283416 hasAuthorship W4384283416A5070028926 @default.
- W4384283416 hasConcept C136948725 @default.
- W4384283416 hasConcept C141071460 @default.
- W4384283416 hasConcept C2776204877 @default.
- W4384283416 hasConcept C2776694085 @default.
- W4384283416 hasConcept C2777438270 @default.
- W4384283416 hasConcept C2778120723 @default.
- W4384283416 hasConcept C2778336525 @default.
- W4384283416 hasConcept C2779912925 @default.
- W4384283416 hasConcept C2780775027 @default.
- W4384283416 hasConcept C2781411149 @default.
- W4384283416 hasConcept C68312169 @default.
- W4384283416 hasConcept C71924100 @default.
- W4384283416 hasConcept C81182388 @default.
- W4384283416 hasConceptScore W4384283416C136948725 @default.
- W4384283416 hasConceptScore W4384283416C141071460 @default.
- W4384283416 hasConceptScore W4384283416C2776204877 @default.
- W4384283416 hasConceptScore W4384283416C2776694085 @default.
- W4384283416 hasConceptScore W4384283416C2777438270 @default.
- W4384283416 hasConceptScore W4384283416C2778120723 @default.
- W4384283416 hasConceptScore W4384283416C2778336525 @default.
- W4384283416 hasConceptScore W4384283416C2779912925 @default.
- W4384283416 hasConceptScore W4384283416C2780775027 @default.
- W4384283416 hasConceptScore W4384283416C2781411149 @default.
- W4384283416 hasConceptScore W4384283416C68312169 @default.
- W4384283416 hasConceptScore W4384283416C71924100 @default.
- W4384283416 hasConceptScore W4384283416C81182388 @default.
- W4384283416 hasIssue "1" @default.
- W4384283416 hasLocation W43842834161 @default.
- W4384283416 hasLocation W43842834162 @default.
- W4384283416 hasOpenAccess W4384283416 @default.
- W4384283416 hasPrimaryLocation W43842834161 @default.
- W4384283416 hasRelatedWork W2020230875 @default.
- W4384283416 hasRelatedWork W2034009509 @default.
- W4384283416 hasRelatedWork W2044909679 @default.
- W4384283416 hasRelatedWork W2047254016 @default.
- W4384283416 hasRelatedWork W2067062555 @default.
- W4384283416 hasRelatedWork W2170478492 @default.
- W4384283416 hasRelatedWork W2366666323 @default.
- W4384283416 hasRelatedWork W2386062800 @default.
- W4384283416 hasRelatedWork W3007948155 @default.
- W4384283416 hasRelatedWork W4384283416 @default.
- W4384283416 hasVolume "91" @default.
- W4384283416 isParatext "false" @default.
- W4384283416 isRetracted "false" @default.
- W4384283416 workType "article" @default.