Piuzzi Nicolas S, Costantini Julián, Carbo Lisandro, Makino Arturo, Boretto Jorge G
Department of Orthopedics and Traumatology, Institute of Orthopedics "Carlos E. Ottolenghi," Hospital Italiano deBuenos Aires, Potosi 4215, and 1199 Buenos Aires, Argentina.
Department of Orthopedics and Traumatology, Hospital "Dr. Federico Abete" de Malvinas Argentinas, Argentina.
J Orthop Case Rep. 2018 Jul-Aug;8(4):20-24. doi: 10.13107/jocr.2250-0685.1140.
Wound complications are a feared complication following total knee arthroplasty (TKA). Furthermore, it is important to avoid underestimation in the pre-operative planning as it may lead to catastrophic TKA failure. Soft-tissue expansion (STE) has been indicated when insufficient or inadequate soft-tissue coverage is present before TKA as an alternative to optimize soft-tissue management.
We report two cases in which we performed, previous to TKA, a prophylactic skin expansion around the knee.
STE technique to expand the available tissue for closure and healing after TKA is a valuable tool in the treatment arsenal, which can be implemented by orthopedic surgeons.
伤口并发症是全膝关节置换术（TKA）后令人担忧的并发症。此外，在术前规划中避免低估情况很重要，因为这可能导致TKA灾难性失败。当TKA术前存在软组织覆盖不足或不充分时，软组织扩张（STE）已被视为优化软组织管理的一种替代方法。
我们报告两例在TKA术前对膝关节周围进行预防性皮肤扩张的病例。
STE技术可在TKA后扩大用于闭合和愈合的可用组织，是治疗手段中的一种有价值工具，可由骨科医生实施。
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