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dc.creatorOlsson, Sofia Eva
dc.creatorAmado, Isabella
dc.creatorFijany, Arman
dc.creatorSoleimani, Shirin
dc.creatorTroia, Thomas
dc.creatorWashington, Kimberly L.
dc.creatorSanchez, Hugo B.
dc.creatorKurapati, Srikanth
dc.creatorPekarev, Maxim
dc.date.accessioned2024-09-25T21:35:58Z
dc.date.available2024-09-25T21:35:58Z
dc.date.issued4/1/2024
dc.identifier.urihttps://doi.org/10.5435/jaaosglobal-d-23-00151
dc.identifier.urihttps://repository.tcu.edu/handle/116099117/65985
dc.descriptionIntroduction: Chronic infections and soft-tissue defects are serious complications after total hip arthroplasties (THAs) that may require hip disarticulation (HD). HD is a relatively high-risk procedure with poor long-term outcomes and survival. This is the first study to analyze the effect of an ipsilateral, pedicled vastus lateralis (VL) muscle flap in preventing HD in patients with recurrent complications after THA. Methods: This retrospective case review analyzed the 6-month postoperative outcomes of 14 patients who underwent soft-tissue hip reconstruction with a VL muscle flap by a single surgeon. Results: Most (86%) patients fully recovered after 6 months with preserved hip range of motion, no pain, and no weakness on ambulation. Two (14%) patients ultimately required HD despite introducing a VL flap. Discussion: A VL muscle flap is an effective treatment of nonhealing THA and prophylactic intervention for patients at high risk for HD. The VL muscle is optimal because of its large size allowing reduction of soft-tissue dead space, its local anatomical location to the hip, and its exceptional vascularity. Additional prospective studies are necessary to determine the most appropriate population for this technique.
dc.languageen
dc.publisherOvid Technologies (Wolters Kluwer Health)
dc.sourceJOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS GLOBAL RESEARCH AND REVIEWS
dc.titleVastus Lateralis Muscle Flap for High-Risk Patients Undergoing Orthopaedic Hip Surgery
dc.typeArticle
dc.rights.licenseCC BY-ND 4.0
local.collegeBurnett School of Medicine
local.departmentBurnett School of Medicine
local.personsOlsson, Amado, Fijany, Soleimani, Troia, Thomas, Kurapati (SOM)


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