How To Diagnose and Treat Infection in Total Ankle Arthroplasty

Foot and Ankle Clinics
Yousef AlrashidiVictor Valderrabano

Abstract

Periprosthetic infection after total ankle arthroplasty (TAA) is a serious complication, often requiring revision surgery, including revision arthroplasty, conversion to ankle arthrodesis, or even amputation. Risk factors for periprosthetic ankle infection include prior surgery at the site of infection, low functional preoperative score, diabetes, and wound healing problems. The clinical presentation of patients with periprosthetic ankle joint infection can be variable and dependent on infection manifestation: acute versus chronic. The initial evaluation in patients with suspected periprosthetic joint infections should include blood tests: C-reactive protein and erythrocyte sedimentation rate. Joint aspiration and synovial fluid analysis can help confirm suspected periprosthetic ankle infection.

Citations

Jul 20, 2019·Foot & Ankle International·Daniel Fuchs, Selene G Parekh
Jul 20, 2019·Foot & Ankle International·Milena M Plöeger, Amiethab Aiyer
Jul 20, 2019·Foot & Ankle International·Michael C AynardiChristopher B Arena
Jul 20, 2019·Foot & Ankle International·Nima HeidariFrancesc Malagelada
Sep 27, 2019·Journal of Bone and Joint Infection·Karsten D OttinkMarjan Wouthuyzen-Bakker
Apr 27, 2017·Operative Orthopädie und Traumatologie·M D WimmerA Barg
Dec 26, 2019·Revista Brasileira De Ortopedia·Lourenço Galizia HeitzmannRoberto Dantas Queiroz
Jul 29, 2021·Foot & Ankle International·Jensen K HenryConstantine Demetracopoulos
Jul 30, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Michele MercurioOlimpio Galasso

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