Wound complication in TKA

Wound problems are a dreaded complication following TKA and ideally are avoided.Preventative measures include proper choice of the skin incision, gentle handling ofthe soft tissues, meticulous hemostasis, and wound closure without excessive tension.Should persistent wound drainage or soft-tissue necrosis occur, early intervention isimperative as delay risks deep infection and failure of the TKA. Cases associated withfull-thickness soft-tissue necrosis often require transfer of well-vascularized tissuesuch as a medial gastrocnemius myocutaneous flap reconstruction.