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The Journal of Bone and Joint Surgery 79:278-311 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Instructional Course Lecture

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Common Complications of Total Knee Arthroplasty*{dagger}

DAVID C. AYERS, M.D.{ddagger}, SYRACUSE, NEW YORK, DOUGLAS A. DENNIS, M.D.§, DENVER, COLORADO, NORMAN A. JOHANSON, M.D.¶, PHILADELPHIA and VINCENT D. PELLEGRINI, JR., M.D.,#, HERSHEY, PENNSYLVANIA

An Instructional Course Lecture, The American Academy of Orthopaedic Surgeons


   Introduction
 
The success of a total joint arthroplasty is contingent on a clear understanding of the potential complications of the procedure. This Instructional Course Lecture presents a review of specific problems related to wound-healing, neurovascular injuries, infections, thromboembolic disease, the extensor mechanism, stiffness, and periprosthetic fractures to provide the reader with a clear understanding of ways to avoid and treat these common complications.


   Wound Complications
 
Primary wound-healing is critical for the success of any total knee arthroplasty. Any delay in wound-healing increases the risk of infection and failure of the arthroplasty214,216. The prevention of soft-tissue problems through the selection of the proper skin incision, an understanding of the vascular anatomy and patient-related risk factors, and prompt treatment of wound problems (should they arise) are imperative if a good result is to be achieved.

Vascular Anatomy
The blood supply to the soft tissues of the anterior aspect of the knee is completely random, with contributions . . . [Full Text of this Article]


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