Myoplasty by flaps with axial blood-supply in infectious complications after hip replacement

After 359 total hip replacements (305 patients) infectious complications developed in 12 (3.3%) cases. Three cases were analyzed. To arrest the chronic inflammation, filling of residual cavities and substitute dermal defects muscular and myodermal flaps from m.tensor fasciae latae, m.rectus femoris and m. vastus lateralis with axial blood supply were used. Stopping of inflammatory process and radical closing of wound defect was achieved in all cases. In 2 patients it was possible to preserve stable to dislocation hip implants by means of wrapping up the implant neck with muscular flap.