Hemphill E S, Ebert F R, Muench A G
Orthopedic Surgery Service, Eisenhower Army Medical Center, Fort Gordon, Ga.
Orthopedics. 1992 Apr;15(4):477-80. doi: 10.3928/0147-7447-19920401-14.
There is greater potential for wound healing complication in rheumatoids, diabetics, and other patients with peripheral vascular disease. Local wound care in areas of avascularity and skin necrosis has poor results, especially if an ulcer is greater than 2 cm in diameter. Gastrocnemius muscle flap coverage of persistent wounds and areas of skin necrosis following total knee arthroplasty should be considered early in the course of such a complication.
