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Adult Reconstruction
intermediate
X-Type

TKA Wound Complications - Dehiscence, Necrosis, and Flap Coverage

TKA Complications

A 72-year-old woman with diabetes, BMI 38, and rheumatoid arthritis is 10 days post-TKA. She presents with wound drainage and a 2cm area of skin edge necrosis at the mid-portion of her midline incision. The surrounding skin is viable and the prosthesis is not exposed. There is no purulence, but the wound edges are not apposed. She is afebrile with stable inflammatory markers. Regarding wound complications after TKA:

Mark each as TRUE or FALSE

A

Risk factors for wound complications after TKA include diabetes mellitus, obesity (BMI greater than ...

B

Wound drainage persisting beyond 5-7 days postoperatively significantly increases the risk of peripr...

C

Skin necrosis always requires immediate implant removal; wound complications never lead to deep infe...

D

The blood supply to anterior knee skin comes from medial and lateral geniculate vessels; the midline...

E

Initial management of superficial wound problems includes local wound care, debridement of necrotic ...

Answer the questions to see explanations

Click T (True) or F (False) for each option