Document Type
Article
Publication Date
9-11-2023
Publication Title
Orthoplastic Surgery
Abstract
Soft tissue coverage of knee wounds can be challenging, in particular in the setting of peripheral arterial disease and knee arthroplasty complications. Options for soft-tissue coverage range from conservative wound care to invasive pedicled and free flaps. Unlike traditional wound coverage problems in plastic surgery patients, arthroplasty coverage decisions oblige surgeons to take into account the possibility of secondary orthopedic procedures. The two cases presented in this manuscript demonstrate the importance of vascular imaging, in particular angiography. In both cases, the workhorse medial gastrocnemius flap harvest could have resulted in critical limb ischemia. When secondary orthopedic revision is required at the site of the wound, angiography allows for planning of appropriate soft tissue coverage surgeries.
First Page
1
Last Page
8
Volume
14
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Katira, Kristopher; Martin, Antony; Garbuzov, Anna; Ferrer, James; Chuong, Brian; Parkerson, Ross; and Chimento, George, "Peripheral arterial disease and complications of total knee arthroplasty: Indications for advanced vascular imaging and Minimally invasive soft tissue coverage procedures" (2023). School of Medicine Faculty Publications. 2028.
https://digitalscholar.lsuhsc.edu/som_facpubs/2028
10.1016/j.orthop.2023.09.002
Included in
Cardiovascular Diseases Commons, Diagnosis Commons, Surgery Commons, Surgical Procedures, Operative Commons