Bengtson S, A Carlsson, M Relander, K Knutson and L Lidgren:

Treatment of the exposed knee prosthesis.

Acta Orthop Scand, 58(6): 662-5, 1987.

Ten knees with early tissue breakdown after knee arthroplasty resulting in exposed prostheses were treated with different plastic surgical techniques. Six knees were successfully covered: four using a gastrocnemius musculocutaneous flap, one using a fasciocutaneous flap, and one using split-skin grafts. Four knees failed: two using local skin flaps and two using split-skin grafts. A gastrocnemius musculocutaneous flap seems to provide a reliable coverage of the exposed knee joint.
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