Articles | Volume 9, issue 5
https://doi.org/10.5194/jbji-9-241-2024
https://doi.org/10.5194/jbji-9-241-2024
Original full-length article
 | 
29 Oct 2024
Original full-length article |  | 29 Oct 2024

A combined debridement, antibiotics, and implant retention (DAIR) procedure with flap coverage for acute soft tissue defects following total knee arthroplasty: a retrospective study

Laia Boadas-Gironès, Marta Sabater-Martos, Marc Ferrer-Banus, Àlex Soriano-Viladomiu, and Juan Carlos Martínez-Pastor

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Cited articles

Baertl, S., Rupp, M., Kerschbaum, M., Morgenstern, M., Baumann, F., Pfeifer, C., Worlicek, M., Popp, D., Amanatullah, D. F., and Alt, V.: The PJI-TNM classification for periprosthetic joint infections, Bone Joint Res., 13, 19–27, https://doi.org/10.1302/2046-3758.131.BJR-2023-0012.R2, 2024. a
Corten, K., Struelens, B., Evans, B., Graham, E., Bourne, R. B., and MacDonald, S. J.: Gastrocnemius flap reconstruction of soft tissue defects following infected total knee replacement, Bone Joint J., 95-B, 1217–1221, https://doi.org/10.1302/0301-620X.95B9.31476, 2013. a
Coughlan, A. and Taylor, F.: Classifications in Brief: The McPherson Classification of Periprosthetic Infection, Clin. Orthop. Relat. Res., 478, 903–908, https://doi.org/10.1097/CORR.0000000000001133, 2020. a
Galat, D. D., McGovern, S. C., Larson, D. R., Harrington, J. R., Hanssen, A. D., and Clarke, H. D.: Surgical treatment of early wound complications following primary total knee arthroplasty, J. Bone Joint Surg. Am., 91, 48–54, https://doi.org/10.2106/JBJS.G.01371, 2009. a
Harrison, C., Alvand, A., Chan, J., West, E., Matthews, P., Taylor, A., Giele, H., McNally, M., and Ramsden, A.: The gastrocnemius flap in the management of infected knee prostheses: experience of 115 cases over 21 years in a single centre, Orthop. Proc., 100-B, 21, Supp_17, 2018. a
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Short summary
When acute soft tissue defects are present after knee arthroplasty, the infection risk is high. A gastrocnemius flap is used for anterior defects, and it is not usually combined with debridement surgery unless infection is clear. We examined the benefit of combining coverage treatment with debridement surgery, DAIR, comparing the isolated traditional coverage treatment. The results suggested a higher healing rate in the combined treatment, so we recommended it.
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