Revision Total Hip Arthroplasty: Postoperative Wound Complications
摘要
Achieving uneventful wound healing and avoiding wound complications are paramount to the success of total hip arthroplasty (THA). Prevention of wound problems begins with careful preoperative patient assessment and optimization. Intraoperative measures such as surgical approach, incisional technique, and case duration are also key factors that influence the outcome. Postoperative wound complications (PWC) may occur despite diligent perioperative measures, and expeditious management is warranted. Periprosthetic joint infection must be ruled out in such circumstances. Management of PWC in revision THA should be tailored to each clinical picture and degree of soft tissue effect, with treatment options ranging from local wound dressings to free flaps. Appropriate workup and selection of treatment method are essential for the successful resolution of PWC.