Use of muscular flaps for the treatment of knee prosthetic joint infection: A systematic review.

Arthroplasty joint infection knee prosthesis knee replacement muscular flaps

Journal

Orthopedic reviews
ISSN: 2035-8164
Titre abrégé: Orthop Rev (Pavia)
Pays: United States
ID NLM: 101524779

Informations de publication

Date de publication:
2022
Historique:
received: 23 10 2021
accepted: 28 12 2021
entrez: 1 7 2022
pubmed: 2 7 2022
medline: 2 7 2022
Statut: epublish

Résumé

Deep periprosthetic infection after total knee arthroplasty is a serious and challenging complication for the orthopedic surgeon. Muscular flaps may represent a valid treatment option for the treatment of this condition. We present a systematic literature review about the use of muscular flaps for the treatment of knee prosthetic joint infection. The review is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. 70 articles, out of 589 titles, were considered eligible for the full-text analysis. Finally, 27 studies that met inclusion criteria were included in this review. Overall, 345 patients (139 males, 206 females) suffering from TKA infection treated with muscular flaps were collected. The mean age was 57.3 years. Mean follow-up, reported in all studies, was 30.1 months. The results presented by the different authors, highlight the effectiveness of muscular flaps for the treatment of periprosthetic infection, in terms of function, limb salvage, prevention of recurrences, cost-effectiveness, and quality of life postoperatively. Muscle flaps provide an excellent management option for patients with persistent infection after total knee arthroplasty.

Identifiants

pubmed: 35774925
doi: 10.52965/001c.33943
pii: 33943
pmc: PMC9239382
doi:

Types de publication

Systematic Review

Langues

eng

Pagination

33943

Déclaration de conflit d'intérêts

The authors declare no potential conflict of interest

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Auteurs

Giuseppe Rovere (G)

Department of Orthopedics and Traumatology Fondazione Policlinico Universitario A. Gemelli IRCSS, Roma, Italia; Università Cattolica Del Sacro Cuore, Roma, Italia.

Amarildo Smakaj (A)

Department of Orthopedics and Traumatology Fondazione Policlinico Universitario A. Gemelli IRCSS, Roma, Italia; Università Cattolica Del Sacro Cuore, Roma, Italia.

Sara Calori (S)

Department of Orthopedics and Traumatology Fondazione Policlinico Universitario A. Gemelli IRCSS, Roma, Italia; Università Cattolica Del Sacro Cuore, Roma, Italia.

Marco Barbaliscia (M)

Department of Orthopedics and Traumatology Fondazione Policlinico Universitario A. Gemelli IRCSS, Roma, Italia; Università Cattolica Del Sacro Cuore, Roma, Italia.

Antonio Ziranu (A)

Department of Orthopedics and Traumatology Fondazione Policlinico Universitario A. Gemelli IRCSS, Roma, Italia; Università Cattolica Del Sacro Cuore, Roma, Italia.

Elisabetta Pataia (E)

Department of Orthopedics and Traumatology Fondazione Policlinico Universitario A. Gemelli IRCSS, Roma, Italia; Università Cattolica Del Sacro Cuore, Roma, Italia.

Giulio Maccauro (G)

Department of Orthopedics and Traumatology Fondazione Policlinico Universitario A. Gemelli IRCSS, Roma, Italia; Università Cattolica Del Sacro Cuore, Roma, Italia.

Domenico De Mauro (D)

Department of Orthopedics and Traumatology Fondazione Policlinico Universitario A. Gemelli IRCSS, Roma, Italia; Università Cattolica Del Sacro Cuore, Roma, Italia.

Francesco Liuzza (F)

Department of Orthopedics and Traumatology Fondazione Policlinico Universitario A. Gemelli IRCSS, Roma, Italia; Università Cattolica Del Sacro Cuore, Roma, Italia.

Classifications MeSH