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首页> 外文期刊>Orthopedics >Gluteus Maximus Advancement Flap Procedure for Reconstruction of Posterior Soft Tissue Deficiency in Revision Total Hip Arthroplasty
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Gluteus Maximus Advancement Flap Procedure for Reconstruction of Posterior Soft Tissue Deficiency in Revision Total Hip Arthroplasty

机译：Gluteus Maximus推进襟翼程序，用于重建后软组织缺陷的修订总髋关节置换术

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摘要

The current study describes the surgical technique and early outcomes of a gluteus maximus advancement flap procedure for the treatment of posterior soft tissue insufficiency among patients with complex revision total hip arthroplasty. This retrospective case series was conducted with a prospective, single-institution arthroplasty registry. Patients who underwent a gluteus maximus advancement flap procedure in the setting of revision total hip arthroplasty between January 2012 and January 2016 were eligible for inclusion (N=7). Primary indications for the gluteus maximus flap procedure included periprosthetic infection with persistent wound breakdown (n=4), persistent symptomatic aseptic pseudotumor in the setting of adverse local tissue reaction after unsuccessful operative debridement (n=2), and abductor insufficiency with recurrent hip instability after unsuccessful placement of a constrained liner (n=1). All patients who underwent a gluteus maximus advancement flap procedure for chronic periprosthetic infection or adverse local tissue reaction had healing of the wound and were infection-free at the last follow-up. In the early postoperative period, 2 patients had recurrent wound infection that required flap elevation. The patients remained infection-free after the subsequent procedure. No patient had repeat instability, and no complications of flap necrosis or nerve palsy occurred. The gluteus maximus advancement flap procedure provides a diverse range of soft tissue coverage options for patients with recalcitrant periprosthetic joint infection, adverse local tissue reaction with pseudotumor, or recurrent instability.
机译：目前的研究描述了臀大氏乳杆菌的外科技巧和早期结果，用于治疗复杂修订患者的患者后软组织不足的患者总髋关节置换术。此回顾性案例系列是通过预期，单机构关节成形术注册管理机构进行的。在2012年1月至2016年1月至2016年1月之间进行修订时，在修订版的Gluteus Maximus进步程序的患者有资格纳入（n = 7）。臀大肌的主要适应症包括持续伤口击穿（n = 4）的脉细胞感染，在不成功的手术清除后的不良局部组织反应中持续症状无菌假瘤（n = 2），并与复发性髋关节不稳定的绑架功能不全在受约束衬里的不成功放置后（n = 1）。所有接受慢性危害症感染或不利局部组织反应的臀部最大促进皮瓣程序的患者都有伤口愈合，并在最后一次随访中无感染。在术后早期，2例患者具有复发性伤口感染，需要襟翼升高。在随后的程序后，患者保持无感染。没有患者重复不稳定性，并且没有发生皮瓣坏死或神经麻痹的并发症。 Gluteus Maximus进步皮瓣程序为顽固的髋臼关节感染患者提供各种软组织覆盖选项，与假瘤的不利局部组织反应或复发不稳定性。

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