{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T14:30:20Z","timestamp":1783089020423,"version":"3.54.6"},"reference-count":25,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta ortop. bras."],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:p>OBJETIVO: Avaliar os resultados obtidos com o uso de retalhos miocut\u00e2neos de rota\u00e7\u00e3o local nos casos de deisc\u00eancia da ferida operat\u00f3ria ap\u00f3s artroplastia total de joelho. M\u00c9TODOS: Os pacientes submetidos a esse procedimentos cir\u00fargicos foram selecionados no per\u00edodo de 2000 a 2012. Os nove casos selecionados neste per\u00edodo foram submetido a retalhos de cobertura devido a deisc\u00eancia de pele associada a infec\u00e7\u00e3o. Em oito casos utilizamos retalhos de rota\u00e7\u00e3o local do gastrocn\u00eamio medial e um caso de avan\u00e7o de pele. RESULTADOS: Em 89% destes casos houve sucesso quanto \u00e0 cobertura da pr\u00f3tese e viabilidade dos retalhos. Em quatro casos foi poss\u00edvel manter ou revisar a pr\u00f3tese. Outros quatro casos evolu\u00edram com necessidade de amputa\u00e7\u00e3o por falha no tratamento infeccioso e um caso permaneceu sem a pr\u00f3tese. A avalia\u00e7\u00e3o funcional mostrou um resultado insatisfat\u00f3rio em 89% desses casos. CONCLUS\u00c3O: Os retalhos de cobertura s\u00e3o uma boa op\u00e7\u00e3o para o tratamento dos casos de deisc\u00eancia com exposi\u00e7\u00e3o da pr\u00f3tese e que o insucesso funcional esteve associado \u00e0 falha no controle do quadro infeccioso e aos danos causados por este. N\u00edvel de Evid\u00eancia IV, S\u00e9rie de Casos.<\/jats:p>","DOI":"10.1590\/s1413-78522013000400007","type":"journal-article","created":{"date-parts":[[2013,8,28]],"date-time":"2013-08-28T12:24:04Z","timestamp":1377692644000},"page":"219-222","source":"Crossref","is-referenced-by-count":12,"title":["Retalhos de rota\u00e7\u00e3o para cobertura ap\u00f3s artroplastia total de joelho"],"prefix":"10.1590","volume":"21","author":[{"given":"Leonardo Rafael","family":"Pozzobon","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilo Partezani","family":"Helito","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tales Mollica","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo Gomes","family":"Gobbi","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Ricardo","family":"P\u00e9cora","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilberto Luis","family":"Camanho","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"3-4","key":"ref1","first-page":"166","article-title":"Total knee arthroplasty","volume":"57","author":"Widuchowski J","year":"2004","journal-title":"Wiad Lek."},{"issue":"9","key":"ref2","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1007\/s00167-011-1621-y","article-title":"Expectation, satisfaction and clinical outcome of patients after total knee arthroplasty","volume":"19","author":"Becker R","year":"2011","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.mayocp.2011.11.017","article-title":"Total knee arthroplasty outcomes in top-ranked and non-top-ranked orthopedic hospitals: an analysis of Medicare administrative data","volume":"87","author":"Cram P","year":"2012","journal-title":"Mayo Clin Proc."},{"issue":"12","key":"ref4","doi-asserted-by":"crossref","first-page":"3928","DOI":"10.1002\/art.21420","article-title":"Trends in epidemiology of knee arthroplasty in the United States 1990-2000","volume":"52","author":"Jain NB","year":"2005","journal-title":"Arthritis Rheum."},{"issue":"9","key":"ref5","doi-asserted-by":"crossref","first-page":"e516","DOI":"10.3928\/01477447-20110714-42","article-title":"Wound healing problems in total knee arthroplasty","volume":"34","author":"Garbedian S","year":"2011","journal-title":"Orthopedics."},{"key":"ref6","first-page":"122","article-title":"Muscle flaps in total knee arthroplasty","volume":"(321)","author":"Markovich GD","year":"1995","journal-title":"Clin Orthop Relat Res."},{"issue":"6","key":"ref7","first-page":"644","article-title":"[Cause analysis and clinical management of postoperative wound complications after total knee arthroplasty]","volume":"23","author":"Sun Z","year":"2009","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi."},{"key":"ref8","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1097\/01.blo.0000238821.71271.cc","article-title":"Wound problems in total knee arthroplasty","volume":"(452)","author":"Vince KG","year":"2006","journal-title":"Clin Orthop Relat Res."},{"issue":"9","key":"ref9","first-page":"781","article-title":"Complications in primary total knee artroplasty","volume":"19","author":"Huo MH","year":"1990","journal-title":"Orthop Rev."},{"issue":"8","key":"ref10","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.2106\/00004623-198365080-00008","article-title":"Two-stage reinplantation for the salvage of infected total knee artroplasty","volume":"65","author":"Insall JN","year":"1983","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"ref11","first-page":"750","article-title":"Watson JS","volume":"76","author":"Adam RF","year":"1994","journal-title":"Outcome after flap cover for exposed total knee arthroplasties. 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