Soft-Tissue Reconstruction of Complicated Total Ankle Arthroplasty
Othman S, Colen DL, Azoury SC, Piwnica-Worms W, Fischer JP, Levin LS, Kovach SJ. Soft-Tissue Reconstruction of Complicated Total Ankle Arthroplasty. Foot & Ankle Specialist 2020, 15: 464-471. PMID: 33215522, DOI: 10.1177/1938640020969596.Peer-Reviewed Original ResearchConceptsTotal ankle arthroplastySoft tissue reconstructionFree tissue transferProsthetic salvageInfected jointsSurgical interventionAnkle arthroplastySkin graftsReconstructive techniquesTissue transferStable soft tissue envelopeReconstructive surgical interventionsSimple skin graftsMajority of patientsEnd-stage arthritisSoft tissue coverageSoft tissue envelopeReconstructive surgery proceduresWound complicationsPatient demographicsSevere complicationsSalvage rateRetrospective reviewPredictive factorsSuccessful salvageMicrovascular free flap coverage for salvage of the infected total knee arthroplasty.
Lee GC, Colen DL, Levin LS, Kovach SJ. Microvascular free flap coverage for salvage of the infected total knee arthroplasty. The Bone & Joint Journal 2020, 102-B: 176-180. PMID: 32475267, DOI: 10.1302/0301-620x.102b6.bjj-2019-1661.r1.Peer-Reviewed Original ResearchConceptsInfected total knee arthroplastyTotal knee arthroplastyFree flap coverageLimb salvageFlap coverageClinical outcomesKnee arthroplastyMedian numberPersistent infectionClinical functionTissue transferKnee Society Scoring SystemMicrovascular free flap coverageTwo-stage reimplantation procedureMicrovascular free tissue transferExtensor mechanism problemsMean KSS scoreKnee prosthesisFailure of treatmentSoft tissue coverageSoft tissue defectsSoft tissue envelopeMicrovascular tissue transferFree tissue transferProsthesis reimplantationFlap Reconstruction for Deep Sternal Wound Infections: Factors Influencing Morbidity and Mortality
Piwnica-Worms W, Azoury SC, Kozak G, Nathan S, Stranix JT, Colen D, Othman S, Vallabhajosyula P, Serletti J, Kovach S. Flap Reconstruction for Deep Sternal Wound Infections: Factors Influencing Morbidity and Mortality. The Annals Of Thoracic Surgery 2020, 109: 1584-1590. PMID: 31982440, DOI: 10.1016/j.athoracsur.2019.12.014.Peer-Reviewed Original ResearchConceptsDeep sternal wound infectionVertical rectus abdominis myocutaneousSuperficial surgical site infectionEnd-stage renal diseaseSternal wound infectionPectoralis muscle flapFlap reconstructionRenal diseasePostoperative complicationsWound infectionMuscle flapHigh mortalityBilateral pectoralis muscle flapsAnesthesiologists physical status classificationFactors Influencing MorbidityPredominant postoperative complicationSingle reconstructive surgeonCardiopulmonary bypass timeHigher American SocietyPredictor of morbidityComplicated postoperative courseCongestive heart failureSurgical site infectionPhysical status classificationSoft tissue coverage