{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T22:23:51Z","timestamp":1778451831544,"version":"3.51.4"},"reference-count":21,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"9","license":[{"start":{"date-parts":[[2013,9,1]],"date-time":"2013-09-01T00:00:00Z","timestamp":1377993600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:p>A soft-tissue defect over an infected total knee replacement (TKR) presents a difficult technical problem that can be treated with a gastrocnemius flap, which is rotated over the defect during the first-stage of a revision procedure. This facilitates wound healing and the safe introduction of a prosthesis at the second stage. We describe the outcome at a mean follow-up of 4.5 years (1 to 10) in 24 patients with an infected TKR who underwent this procedure. A total of 22 (92%) eventually obtained a satisfactory result. The mean Knee Society score improved from 53 pre-operatively to 103 at the latest follow-up (p &lt; 0.001). The mean Western Ontario and McMaster Universities osteoarthritis index and Short-Form 12 score also improved significantly (p &lt; 0.001).<\/jats:p><jats:p>This form of treatment can be used reliably and safely to treat many of these complex cases where control of infection, retention of the components and acceptable functional recovery are the primary goals.<\/jats:p><jats:p>Cite this article: Bone Joint J 2013;95-B:1217\u201321.<\/jats:p>","DOI":"10.1302\/0301-620x.95b9.31476","type":"journal-article","created":{"date-parts":[[2013,8,30]],"date-time":"2013-08-30T14:20:22Z","timestamp":1377872422000},"page":"1217-1221","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":45,"title":["Gastrocnemius flap reconstruction of soft-tissue defects following infected total knee replacement"],"prefix":"10.1302","volume":"95-B","author":[{"given":"K.","family":"Corten","sequence":"first","affiliation":[{"name":"Ziekenhuis Oost-Limburg Genk, Schiepse Bos 6, 3600 Genk, Belgium."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Struelens","sequence":"additional","affiliation":[{"name":"University Hospital Pellenberg, Weligerveld 1, 3212 Pellenberg, Belgium."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Evans","sequence":"additional","affiliation":[{"name":"London Health Sciences Centre, University Campus, 339 Windermere Road, London, Ontario N6A 5A5, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Graham","sequence":"additional","affiliation":[{"name":"London Health Sciences Centre, University Campus, 339 Windermere Road, London, Ontario N6A 5A5, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. 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