Diagnosis and Management of Infected Total Ankle Replacements

Orthop Clin North Am. 2024 Apr;55(2):285-297. doi: 10.1016/j.ocl.2023.08.001. Epub 2023 Sep 27.ABSTRACTAs the number of primary total ankle replacements increases for treatment of end-stage ankle arthritis, failures are also expected to rise. Periprosthetic joint infection is among the causes of failures and has been reported to be as high as 5%. Diagnosis is usually made by a combination of clinical examination findings, imaging, laboratory, and microbiological workup. Management is generally separated into limb salvage or amputation. Limb salvage can be challenging and may involve a single versus staged approach. Options include revision arthroplasty or arthrodesis procedures (ankle versus tibiotalocalcaneal), and a multidisciplinary approach is sought to eradicate infection before definitive management.PMID:38403374 | DOI:10.1016/j.ocl.2023.08.001
Source: The Orthopedic Clinics of North America - Category: Orthopaedics Authors: Source Type: research