Soft-tissue coverage for wound complications following total elbow arthroplasty

Arno A. Macken; Jonathan Lans; Satoshi Miyamura; Kyle R. Eberlin; Neal C. Chen

추천

검색

질문

자료유형: 학술저널

저자정보: Arno A. Macken (Harvard Medical School) Jonathan Lans (Harvard Medical School) Satoshi Miyamura (Harvard Medical School) Kyle R. Eberlin (Harvard Medical School) Neal C. Chen (Harvard Medical School)

저널정보: 대한견주관절의학회 대한견주관절의학회지 대한견주관절의학회지 제24권 제4호

발행연도: 2021.12

수록면: 245 - 252 (8page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background: In patients with total elbow arthroplasty (TEA), the soft-tissue around the elbow can be vulnerable to soft-tissue complications. This study aims to assess the outcomes after soft-tissue reconstruction following TEA.
Methods: We retrospectively included nine adult patients who underwent soft-tissue reconstruction following TEA. Demographic data and disease characteristics were collected through medical chart reviews. Additionally, we contacted all four patients that were alive at the time of the study by phone to assess any current elbow complications. Local tissue rearrangement was used for soft-tissue reconstruction in six patients, and a pedicle flap was used in three patients. The median follow-up period was 1.3 years (range, 6 months–14.7 years).
Results: Seven patients (78%) underwent reoperation. Four patients (44%) had a reoperation for soft-tissue complications, including dehiscence or nonhealing of infected wounds. Five patients (56%) had a reoperation for implant-related complications, including three infections and two peri-prosthetic fractures. At the final follow-ups, six patients (67%) achieved successful wound healing and two patients had continued wound healing issues, while two patients had an antibiotic spacer in situ and one patient underwent an above-the-elbow amputation.
Conclusions: This study reports a complication rate of 78% for soft-tissue reconstructions after TEA. Successful soft-tissue healing was achieved in 67% of patients, but at the cost of multiple surgeries. Early definitive soft-tissue reconstruction could prove to be preferable to minor interventions such as irrigation, debridement, and local tissue advancement, or smaller soft-tissue reconstructions using local tissue rearrangement or a pedicled flap at a later stage.

#Arthroplasty #Elbow #Surgical wound dehiscence #Surgical wound infection #Reconstructive surgical procedures

참고문헌 (22)

참고문헌 신청

Lovy AJ / 2016 / Outcomes, complications, utilization trends, and risk factors for primary and revision total elbow replacement / J Shoulder Elbow Surg 25:1020~1026

Kim HJ / 2018 / Total elbow arthroplasty under unfavourable soft tissue conditions / Int Orthop 42:367~374

Fleager KE / 2011 / The"anconeus slide" : rotation flap for management of posterior wound complications about the elbow / J Shoulder Elbow Surg 20:1310~1316

Hacquebord JH / 2018 / The pedicled latissimus dorsi flap provides effective coverage for large and complex soft tissue injuries around the elbow / Hand(N Y) 13:586~592

Wei FC / 2002 / Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps / Plast Reconstr Surg 109:2219~2226

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!