Diagnosing and Managing Infection in Total Ankle Replacement.
Foot Ankle Clin
; 29(1): 145-156, 2024 Mar.
Article
in En
| MEDLINE
| ID: mdl-38309798
ABSTRACT
Infections after total ankle replacement (TAR) within the first 4 weeks after implantation can be managed successfully with 1 or several debridements, irrigation, and a change of polyethylene inlay. Late infections require implant removal. Low-grade infections might be an underestimated problem so far. Although single-surgery revisions are reported in the literature, the authors' experience with 2-stage revisions using an antibiotics-loaded bone cement spacer is better. Additional antibiotics are used to support the surgical treatment. After antibiotic therapy of 12 weeks, the final treatment includes ankle or tibio-talo-calcaneal fusion and, with limitations, revision TAR.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Prosthesis-Related Infections
/
Arthroplasty, Replacement, Ankle
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
Limits:
Humans
Language:
En
Journal:
Foot Ankle Clin
/
Foot and ankle clinics
/
Foot ankle clin
Journal subject:
ORTOPEDIA
Year:
2024
Document type:
Article
Country of publication:
Estados Unidos