Diagnosing and Managing Infection in Total Ankle Replacement.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 38309798.
- Also identified by DOI 10.1016/j.fcl.2023.09.002.
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Abstract
Infections after total ankle replacement (TAR) within the first 4 weeks after implantation can be managed successfully with 1 or several debridements, irrigation, and a change of polyethylene inlay. Late infections require implant removal. Low-grade infections might be an underestimated problem so far. Although single-surgery revisions are reported in the literature, the authors' experience with 2-stage revisions using an antibiotics-loaded bone cement spacer is better. Additional antibiotics are used to support the surgical treatment. After antibiotic therapy of 12 weeks, the final treatment includes ankle or tibio-talo-calcaneal fusion and, with limitations, revision TAR.
Medical subject headings
- Arthroplasty, Replacement, Ankle
- Prosthesis-Related Infections
Anatomy
- ankle