Early Resection of the Tibialis Anterior Tendon for Tendon Exposure After Total Ankle Arthroplasty to Prevent Deep Infection: A Report of Three Cases in Patients With Rheumatoid Arthritis.

deep infection early resection prevent rheumatoid arthritis tibialis anterior tendon total ankle arthroplasty

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jun 2023
Historique:
accepted: 14 06 2023
medline: 17 7 2023
pubmed: 17 7 2023
entrez: 17 7 2023
Statut: epublish

Résumé

Exposure of the tibialis anterior (TA) tendon with wound dehiscence after total ankle arthroplasty (TAA) with the anterior approach is a problematic complication, especially in rheumatoid arthritis (RA) patients. Once the TA tendon is exposed, the duration of wound healing is prolonged, and it could be a risk factor for deep infection. Thus, early resection of the TA tendon was evaluated for tendon exposure with wound dehiscence after TAA in RA patients. In this case report, three rheumatoid ankles that showed wound dehiscence with exposure of the TA tendon after TAA with the anterior approach are presented. Early resection of the TA tendon and debridement under local anesthesia were performed within two days after wound dehiscence. In all cases, wound healing was completed within two weeks after the treatment. Drop foot was not seen in any patients, and there was no difference between the pre and postoperative (1 year after TAA) range of dorsiflexion. Muscle strength for ankle dorsiflexion was also maintained. In conclusion, early resection of the TA tendon appears to be a useful option for undesirable tendon exposure with wound dehiscence to prevent deep infection and prolonged wound healing after total ankle arthroplasty in RA patients.

Identifiants

pubmed: 37456439
doi: 10.7759/cureus.40441
pmc: PMC10349276
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e40441

Informations de copyright

Copyright © 2023, Noguchi et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

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Auteurs

Takaaki Noguchi (T)

Orthopaedic Surgery, National Hospital Organization, Osaka Minami Medical Center, Kawachinagano, JPN.

Makoto Hirao (M)

Orthopaedic Surgery, National Hospital Organization, Osaka Minami Medical Center, Kawachinagano, JPN.

Gensuke Okamura (G)

Orthopaedic Surgery, National Hospital Organization, Osaka Minami Medical Center, Kawachinagano, JPN.

Shigeyoshi Tsuiji (S)

Orthopaedics and Rheumatology, Nippon Life Hospital, Osaka, JPN.

Yuki Etani (Y)

Orthopaedic Surgery, Osaka University, Graduate School of Medicine, Suita, JPN.

Kosuke Ebina (K)

Musculoskeletal Regenerative Medicine, Osaka University, Graduate School of Medicine, Suita, JPN.

Hideki Tsuboi (H)

Orthopaedic Surgery/Rheumatology, Osaka Rosai Hospital, Sakai, JPN.

Yoshihiko Hoshida (Y)

Pathology, National Hospital Organization, Osaka Minami Medical Center, Kawachinagano, JPN.

Seiji Okada (S)

Orthopaedic Surgery, Osaka University, Graduate School of Medicine, Suita, JPN.

Jun Hashimoto (J)

Orthopaedic Surgery, National Hospital Organization, Osaka Minami Medical Center, Kawachinagano, JPN.

Classifications MeSH