10 Avoiding Wound Complications in Total Knee Replacement

2015 ◽  
pp. 117-126 ◽  
Author(s):  
Brian K. Daines ◽  
Raymond H. Kim ◽  
Douglas A. Dennis
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Wound Complications ◽  
Total Knee

Clinical outcomes following re-admission for non-infectious wound complications after primary total knee replacement

2014 ◽  
Vol 96-B (5) ◽  
pp. 619-621 ◽  
Author(s):  
M. A. Adelani ◽  
S. R. Johnson ◽  
J. A. Keeney ◽  
R. M. Nunley ◽  
R. L. Barrack
Keyword(s):  
Total Knee Replacement ◽  
Clinical Outcomes ◽  
Knee Replacement ◽  
Wound Complications ◽  
Primary Total Knee Replacement ◽  
Total Knee ◽  
Primary Total Knee

Multimodal Conservative Treatment of Complicated Open Wound After Total Knee Replacement Arthroplasty in Patients With Comorbidities

2020 ◽  
pp. 153473462091931
Author(s):  
Sang Oon Baek ◽  
Jeonghwan Shin ◽  
Jong Keun Song ◽  
Jun Yong Lee
Keyword(s):  
Conservative Treatment ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Reconstructive Surgery ◽  
Early Rehabilitation ◽  
Wound Complications ◽  
Joint Motion ◽  
Replacement Arthroplasty ◽  
Knee Replacement Arthroplasty ◽  
Total Knee

Total knee replacement arthroplasty is a common procedure and postoperative wound complications are sometimes inevitable. Although invasive reconstructive surgery may be an option for nonhealed wounds, such procedures can limit early rehabilitation, adversely affecting the range of joint motion. Patients can achieve a wider range of motion if they undergo early rehabilitation with a conservative approach. From 2015 to 2017, 5 patients with comorbidities who underwent total knee replacement arthroplasty were referred to the reconstructive surgery department for nonhealed open wounds. Depending on their comorbidities and conditions, the patients underwent negative-pressure wound therapy based on multimodal conservative treatment. During the treatment, the patients continued rehabilitation. In the 5 patients, the mean duration of complete wound healing was 65.2 days (range = 57-81), during which all open wounds were well healed. For final wound closure, the patients underwent skin grafting, dermatotraction, or collagen dressing. Four patients achieved ranges of joint motion over 100 degrees after treatment. We believe that early coverage is important for open wounds. For complicated open wounds after total knee replacement arthroplasty in patients with comorbidities, less invasive multimodal treatment along with early rehabilitation may be more effective to achieve adequate final range of joint motion.

Wound Closure in Flexion versus Extension following Total Knee Replacement: Outcomes and Complications

2018 ◽  
Vol 32 (10) ◽  
pp. 1024-1027
Author(s):  
Aatif Mahmood ◽  
Thomas Fursdon ◽  
Viju Peter ◽  
Gunasekaran Kumar
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Wound Closure ◽  
Soft Tissues ◽  
Demographic Data ◽  
Oxford Knee Score ◽  
Wound Complications ◽  
Consecutive Series ◽  
Range Of Movement ◽  
Total Knee

AbstractPosition of the knee may affect the range of movement (ROM) after a total knee replacement (TKR). It has been postulated that wound closure in extension may cause shortening of the extensor mechanism and increased tension on the soft tissues. The aim of this study was to determine effect of wound closure in TKR with the knee in flexion or extension on postoperative ROM and rehabilitation. A consecutive series of 121 patients underwent primary TKR between May 2011 and August 2012. Group A (60 patients) had wound closure in extension. Group B (61 patients) had wound closure in flexion. Baseline demographic data were compared—age, body mass index, gender, American Society of Anesthetists status, length of stay, wound healing, and ROM. Oxford Knee Score (OKS) were assessed at 6 months, 1 year, and 2 years. Fifty-two males and 69 females with average age of 68 years (32–86) underwent TKR. There were no wound complications requiring surgical intervention. One patient in each group required manipulation under anesthesia for stiffness. There was no statistical difference in ROM and OKS at the last follow-up. There was no difference in outcomes following knee closure in flexion or extension.

Total knee replacement in an amputee patient: A case report

2000 ◽  
Vol 81 (6) ◽  
pp. 824-826 ◽  
Author(s):  
Paul F. Pasquina ◽  
Erik Dahl
Keyword(s):  
Case Report ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Total Knee
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