Saphenous Neurocutaneous Flap and Cement Spacer Replacement in the Management of Arthroplasty of an Infected Knee with a Soft Tissue Coverage Defect. Case Report

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Tamara Dainotto
Gonzalo Viollaz
Hernán del Sel
Fernando Adrián Lopreite

Abstract

Soft tissue defects in the setting of periprosthetic joint infection represent serious problems for orthopedic surgeons following total joint replacement. This report aims to show our experience using the proximal-based saphenous neurocutaneous flap for the reconstruction of a wound defect in the treatment of a periprosthetic knee infection. A new cement spacer was placed and a neurocutaneous saphenous flap was performed in the same stage.
Conclusions: Soft tissue defects around the knee can be effectively solved with the neurocutaneous saphenous flap, which provides adequate coverage to this joint within the context of infected arthroplasty.

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How to Cite
Dainotto, T., Viollaz, G., del Sel, H., & Lopreite, F. A. (2021). Saphenous Neurocutaneous Flap and Cement Spacer Replacement in the Management of Arthroplasty of an Infected Knee with a Soft Tissue Coverage Defect. Case Report. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(4), 529-536. https://doi.org/10.15417/issn.1852-7434.2021.86.4.1194
Section
Case Presentations
Author Biographies

Tamara Dainotto, Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Gonzalo Viollaz, Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Hernán del Sel, Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Medical Director, Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina Current President of the World Association against Infection in Orthopaedics and Trauma (WAIOT)  

Fernando Adrián Lopreite, Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Hip and Knee Team, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires,Autonomous City of Buenos Aires, Argentina Current President of the Asociación Argentina para el Estudio de la Cadera y la Rodilla (ACARO).

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