Diagnosis and Management of Infected Total Ankle Replacements.

Periprosthetic joint infection Total ankle arthroplasty Total ankle replacement

Journal

The Orthopedic clinics of North America
ISSN: 1558-1373
Titre abrégé: Orthop Clin North Am
Pays: United States
ID NLM: 0254463

Informations de publication

Date de publication:
Apr 2024
Historique:
medline: 26 2 2024
pubmed: 26 2 2024
entrez: 25 2 2024
Statut: ppublish

Résumé

As 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.

Identifiants

pubmed: 38403374
pii: S0030-5898(23)00144-X
doi: 10.1016/j.ocl.2023.08.001
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

285-297

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Auteurs

Benjamin D Umbel (BD)

Department of Orthopedic Surgery, Duke University Medical Center, 200 Trent Drive, Durham, NC 27710, USA. Electronic address: benumbel@gmail.com.

Brandon A Haghverdian (BA)

Department of Orthopedic Surgery, Duke University Medical Center, 200 Trent Drive, Durham, NC 27710, USA.

Karl M Schweitzer (KM)

Duke Orthopaedics of Raleigh, 3480 Wake Forest Road, Suite 204, Raleigh, NC 27609, USA.

Samuel B Adams (SB)

Department of Orthopedic Surgery, Duke University Medical Center, 200 Trent Drive, Durham, NC 27710, USA.

Classifications MeSH