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10.3205/iprs000007

http://scihub22266oqcxt.onion/10.3205/iprs000007
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C4582473!4582473!26504691
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suck abstract from ncbi


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pmid26504691      GMS+Interdiscip+Plast+Reconstr+Surg+DGPW 2012 ; 1 (ä): ä
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  • The pediculated gastrocnemius muscle flap as a treatment for soft tissue problems of the knee ? indication, placement and results #MMPMID26504691
  • Moebius B; Scheller EE
  • GMS Interdiscip Plast Reconstr Surg DGPW 2012[]; 1 (ä): ä PMID26504691show ga
  • With the increase of endoprosthetic knee replacements, there is also an increase of critical wounds to the knee due to a high incidence of soft tissue problems (ranging from wound healing defects to severe wound infections). The literature describes a general rate of soft tissue complications of up to 20% [1], [2], with 5% [3] involving exposed bone. These complications are an increasingly important problem for surgeons. Since sufficient coverage of bones, tendons and prosthetic material with soft tissue is a necessity, the use of a pediculated muscle flap is the only solution in some cases. The gastrocnemius muscle is very useful for this purpose. It is an elaborate procedure which is associated with a high rate of complications. However, this procedure can establish a secure coverage with soft tissue, and the function of the prosthesis and the patient?s extremity can be saved. We have treated 23 patients with a gastrocnemius rotation flap after knee prosthesis or knee arthrodesis infection with consecutive soft tissue damage at our hospital from 8/2004 through 3/2011. The overall rate of healing of the knee infections with stable soft tissue status is almost 87%. The revision rate with lifting of the flap and revision of the sutures at the point of insertion as well as the point of extraction was about 35% with long-term conservative or additional surgical treatments.
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