Is debridement really the best we can do for periprosthetic joint infections following total ankle replacements? A systematic review and meta-analysis.
Foot Ankle Surg
; 28(6): 697-708, 2022 Aug.
Article
em En
| MEDLINE
| ID: mdl-34688527
ABSTRACT
BACKGROUND:
Ankle periprosthetic joint infections are rising in number, but an evidence-based gold standard treatment has not been defined yet.METHODS:
We made a systematic review about the operative treatment of infections following total ankle arthroplasty. Proportional meta-analysis was used to summarize effects of the surgical techniques included. Primary outcome of this study was infection eradication, followed by complications, re-interventions, amputation rates and functions.RESULTS:
We included six studies(113 patients) reporting 6 types of surgical interventions, mostly irrigation and debridement (35.4%) and two-stage revisions (24.8%). No differences among all analyzed techniques were found in the infection eradication outcome as well as in the secondary outcomes. Patients receiving a permanent spacer are most likely to end up with amputation.CONCLUSIONS:
Literature dealing with infections after total ankle replacement is currently composed by few low-quality articles. The overlapping of confidence intervals related to all analyzed interventions showed no superiority of either technique. LEVEL OF EVIDENCE III.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artrite Infecciosa
/
Infecções Relacionadas à Prótese
/
Artroplastia de Substituição do Tornozelo
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
Foot Ankle Surg
Assunto da revista:
ORTOPEDIA
Ano de publicação:
2022
Tipo de documento:
Article