Should Aspiration of the Ankle With an Antibiotic Spacer Be Performed Prior to Reimplantation?
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 31322941.
- Also identified by DOI 10.1177/1071100719859569.
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Abstract
We recommend that aspiration of the ankle with an antibiotic spacer prior to a second-stage reimplantation be strongly considered. Available studies indicate that a positive culture of the aspirate in this setting is predictive of residual infection, while a negative aspirate culture does not rule out infection and should be interpreted in light of other clinical indicators and laboratory values. Consensus. Agree: 92%, Disagree: 8%, Abstain: 0% (Super Majority, Strong Consensus).
Medical subject headings
- Anti-Bacterial Agents
- Arthroplasty, Replacement, Ankle
- Prosthesis-Related Infections
Anatomy
- ankle