Journal of Bone and Joint Infection
Journal of Bone and Joint Infection
JBJI
Articles | Volume 6, issue 9
Articles | Volume 6, issue 9
https://doi.org/10.5194/jbji-6-425-2021
© Author(s) 2021. This work is distributed under
the Creative Commons Attribution 4.0 License.
https://doi.org/10.5194/jbji-6-425-2021
© Author(s) 2021. This work is distributed under
the Creative Commons Attribution 4.0 License.
Articles | Volume 6, issue 9
Original full-length article
 | 
23 Nov 2021
Original full-length article |  | 23 Nov 2021

Outcomes of the gastrocnemius flap performed by orthopaedic surgeons in salvage revision knee arthroplasty

Robert Allan McCulloch, Amirul Adlan, Scott Evans, Michael Parry, Jonathan Stevenson, and Lee Jeys

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Frequent microbiological profile changes are seen in subsequent-revision hip and knee arthroplasty for prosthetic joint infection
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A comparison of the microbiology profile for periprosthetic joint infection of knee arthroplasty and lower-limb endoprostheses in tumour surgery
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Subject: Prosthesis-related infections | Topic: Surgery
Long-term outcome of two-stage revision surgery after hip and knee prosthetic joint infections: an observational study
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Cited articles

Anon: Executive Summary, available at: https://reports.njrcentre.org.uk/AR-Executive-Summary, last access: 7 November 2021. 
Atkins, B. L., Athanasou, N., Deeks, J., Crook, D. W. M., Simpson, H., Peto, T., Mclardy-Smith, P., Berendt, A. R., Benson, M., Carr, A., Collopy, D., Cooke, P., Kenwright, J., McClardy-Smith, P., Simpson, H., De Steiger, R., Gundle, R., Willett, K., Atkins, B., Berendt, A., Bowler, I., Conlon, C., Crook, D., Emptage, A., and Athanasou, N.: Prospective evaluation of criteria for microbiological diagnosis of prosthetic-joint infection at revision arthroplasty, J. Clin. Microbiol., 36, 2932–2939, https://doi.org/10.1128/jcm.36.10.2932-2939.1998, 1998. 
Bickels, J., Wittig, J. C., Kollender, Y., Neff, R. S., Kellar-Graney, K., Meller, I., and Malawer, M. M.: Reconstruction of the extensor mechanism after proximal tibia endoprosthetic replacement, J. Arthroplasty, 16, 856–862, https://doi.org/10.1054/ARTH.2001.25502, 2001. 
Fedorka, C. J., Chen, A. F., McGarry, W. M., Parvizi, J., and Klatt, B. A.: Functional Ability After Above-the-knee Amputation for Infected Total Knee Arthroplasty, Clin. Orthop. Relat. Res., 469, 1024–1032, https://doi.org/10.1007/S11999-010-1577-0, 2010. 
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Short summary
This paper presents a series of patients with complex periprosthetic joint infection of the knee and concomitant soft tissue defects managed with revision knee surgery and a gastrocnemius flap. We show that this flap can be safely performed by appropriately trained orthopaedic surgeons and confirmed the previous literature findings that patients presenting with this problem have high rates of persistent infection.
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