Periprosthetic ankle infection: eradication rate, complications, and limb salvage. A systematic review.
Foot Ankle Surg
; 28(5): 550-556, 2022 Jul.
Article
em En
| MEDLINE
| ID: mdl-34321185
ABSTRACT
BACKGROUND:
This systematic review investigated the outcomes of revision surgery after periprosthetic ankle infection (PAI).METHODS:
According to the PRISMA statement, 9 studies with 131 PAIs surgically treated and analyzed were included. Demographics and surgical techniques with eradication rates and complications were reported.RESULTS:
Methicillin-sensitive Staphylococcus aureus (MSSA) (30.4%) and coagulase-negative Staphylococcus (CNS) (26.5%) were the most common microorganisms. The eradication rate was 91.7% with permanent antibiotic spacers (SPC), 84.4% with 2-stage, 79.4% with arthrodesis (AA), and 58.8% with debridement and implant retention (DAIR). DAIR showed a significantly lower eradication rate than 2-stage (p = 0.016) and SPC (p = 0.043). Amputations occurred in 25% of patients after SPC, 8.8% after AA and 3.9% after DAIR. SPC showed a significantly higher amputation rate than DAIR and 2-stage (p = 0.044, and p = 0.017, respectively).CONCLUSIONS:
SPC and 2-stage revision show the highest eradication rates, but 2-stage has a lower risk of amputation.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Infecções Relacionadas à Prótese
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article