{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T17:33:59Z","timestamp":1773423239994,"version":"3.50.1"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background A 61-year-old patient presented with a right Girdlestone hip and wound dehiscence due to extensive dead space after radical debridement and septic arthroplasty removal. A two-stage reconstruction with the application of a subcutaneous autologous arterio-venous (AV) loop using an autologous vena saphena magna (VSM) interposition graft followed by a free latissimus dorsi flap was performed.<\/jats:p><jats:p>\n          Method We decided to perform a two-stage procedure with AV loop creation in the first step and free flap transplantation seven days after it. In the first step, an AV vascular loop was prepared by transplanting the contralateral VSM interposition graft to the inguinal femoral vessels with subcutaneous passage of the venous loop. In the second step after 7 days, the wound was closed by a two-team approach. One surgical team completed the wound debridement, while the other team harvested the flap by microsurgical preparation of the thoracodorsal pedicle in the right axilla. Upon completed harvest, the flap was placed into the wound to fill the periosseous dead space, and the anastomosis was performed in an end-to-end fashion.<\/jats:p><jats:p>\n          Result The patient remained free of infection with a well-healed flap. He was mobilized on crutches with partial weight bearing on the operated leg. A lower extremity prosthesis with pelvic support was customized.<\/jats:p>","DOI":"10.1055\/s-0037-1599649","type":"journal-article","created":{"date-parts":[[2020,6,26]],"date-time":"2020-06-26T01:28:52Z","timestamp":1593134932000},"page":"674-680","source":"Crossref","is-referenced-by-count":6,"title":["Plastic-Reconstructive Treatment Algorithm for Dead Space Management Following Septic Total Hip Arthroplasty Removal: AV Loop and Two-Stage Free Myocutaneous Latissimus Dorsi Flap"],"prefix":"10.1055","volume":"159","author":[{"given":"Sandra","family":"M\u00fcnchow","sequence":"additional","affiliation":[{"name":"Department for Plastic and Hand Surgery, Carl Gustav Carus University Hospital, Dresden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Dragu","sequence":"additional","affiliation":[{"name":"Department for Plastic and Hand Surgery, Carl Gustav Carus University Hospital, Dresden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Rammelt","sequence":"additional","affiliation":[{"name":"University Centre for Orthopaedic and Trauma Surgery, Carl Gustav Carus University Hospital, Dresden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Reeps","sequence":"additional","affiliation":[{"name":"Department for Visceral, Thoracic and Vascular Surgery, Carl Gustav Carus University Hospital, Dresden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maik","family":"Stiehler","sequence":"additional","affiliation":[{"name":"University Centre for Orthopaedic and Trauma Surgery, Carl Gustav Carus University Hospital, Dresden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,6,25]]},"reference":[{"key":"ref1","first-page":"681","article-title":"[Revision strategy for periprosthetic infection]","volume":"38","author":"B Lehner","year":"2009","journal-title":"Orthopade"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"127","DOI":"10.7150\/jbji.16429","article-title":"Treatment challenges of prosthetic hip infection with associated iliacus muscle abscess: report of 5 cases and literature review","volume":"2","author":"J M Lawrenz","year":"2017","journal-title":"J Bone Jt Infect"},{"issue":"S 08","key":"ref3","doi-asserted-by":"crossref","first-page":"S36","DOI":"10.5301\/HIP.2012.9568","article-title":"Girdlestone procedure: when and why","volume":"22","author":"J Cordero-Ampuero","year":"2012","journal-title":"Hip Int"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1097\/SAP.0b013e31824e29de","article-title":"Vastus lateralis flap reconstruction after Girdlestone arthroplasty: thirteen consecutive cases and outcomes","volume":"71","author":"D L Larson","year":"2013","journal-title":"Ann Plast Surg"},{"key":"ref5","first-page":"251","article-title":"[Soft tissue healing in infected arthroplasty]","volume":"25","author":"V Heppert","year":"2013","journal-title":"Oper Orthop Traumatol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1097\/01.prs.0000297634.53915.e5","article-title":"Arteriovenous vascular loops in free flap reconstruction of the extremities","volume":"121","author":"P C Cavadas","year":"2008","journal-title":"Plast Reconstr Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/j.bjps.2015.11.025","article-title":"Results of combined vascular reconstruction by means of AV loops and free flap transfer in patients with soft tissue defects","volume":"69","author":"A Meyer","year":"2016","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1002\/micr.22405","article-title":"Combined free flaps with arteriovenous loops for reconstruction of extensive thoracic defects after sternal osteomyelitis","volume":"36","author":"C D Taeger","year":"2016","journal-title":"Microsurgery"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1002\/micr.30204","article-title":"Single-stage versus two-stage arteriovenous loop microsurgical reconstruction: a meta-analysis of the literature","volume":"38","author":"R Knackstedt","year":"2018","journal-title":"Microsurgery"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1016\/j.bjps.2017.08.025","article-title":"Retrospective cohort study of combined approach for trunk reconstruction using arteriovenous loops and free flaps","volume":"71","author":"A Arkudas","year":"2018","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref11","first-page":"537","article-title":"[Sternal osteomyelitis \u2013 surgical treatment concepts]","volume":"87","author":"J P Beier","year":"2016","journal-title":"Chirurg"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1186\/s12957-018-1517-0","article-title":"Reconstruction of composite defects of the scalp and neurocranium-a treatment algorithm from local flaps to combined AV loop free flap reconstruction","volume":"16","author":"D Steiner","year":"2018","journal-title":"World J Surg Oncol"}],"container-title":["Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0037-1599649.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T23:53:12Z","timestamp":1638402792000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0037-1599649"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,25]]},"references-count":12,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2021,12,1]]},"published-print":{"date-parts":[[2021,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0037-1599649","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1864-6697","1864-6743"],"issn-type":[{"value":"1864-6697","type":"print"},{"value":"1864-6743","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,25]]}}}