2020
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 reimplantation
2018
Soft-Tissue Reconstruction of the Complicated Knee Arthroplasty
Colen DL, Carney MJ, Shubinets V, Lanni MA, Liu T, Levin LS, Lee GC, Kovach SJ. Soft-Tissue Reconstruction of the Complicated Knee Arthroplasty. Plastic & Reconstructive Surgery 2018, 141: 1040-1048. PMID: 29596192, DOI: 10.1097/prs.0000000000004255.Peer-Reviewed Original ResearchConceptsTotal knee arthroplastySoft tissue reconstructionRisk of amputationKnee arthroplastyKnee fusionProsthesis salvageExact testDefinitive soft tissue reconstructionTotal knee arthroplasty complicationsCLINICAL QUESTION/LEVELRevision total knee arthroplastyPlastic surgeonsPositive joint cultureMedial gastrocnemius flapCommon orthopaedic proceduresSoft tissue compromiseSoft tissue envelopeFisher's exact testKnee salvagePrimary outcomeSalvage rateRetrospective reviewArthroplasty complicationsJoint infectionGastrocnemius flap