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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Published on: January 24, 2018

Wound breakdown after total ankle arthroplasty.

Joseph L Whalen¹, Sarah C Spelsberg, Peter Murray

¹Orthopaedic Surgery, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA. whalen.joseph@mayo.edu

Foot & Ankle International

|April 8, 2010

Summary

This summary is machine-generated.

Wound breakdown after total ankle arthroplasty (TAA) affects 28% of patients. Smoking, peripheral vascular disease, and cardiovascular disease significantly increase this risk, necessitating preoperative screening.

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Published on: January 23, 2018

Area of Science:

Orthopedic Surgery
Surgical Complications
Arthroplasty Research

Background:

Wound breakdown is a common complication after total ankle arthroplasty (TAA).
Healing problems can lead to tissue necrosis, jeopardizing implant survival and patient outcomes.
The central third of the operative incision is a frequent site for these issues.

Purpose of the Study:

To identify risk factors associated with wound breakdown following primary total ankle arthroplasty.
To evaluate the incidence of wound healing problems in TAA patients.
To inform strategies for improving surgical outcomes.

Main Methods:

Retrospective review of medical records from 57 consecutive primary total ankle arthroplasties.
Analysis of potential risk factors contributing to wound breakdown.
Statistical evaluation of risk factor significance.

Main Results:

The overall rate of wound breakdown was 28% in the studied cohort.
Smoking (over 12 pack years), peripheral vascular disease, and cardiovascular disease were identified as significant risk factors.
These factors showed a statistically significant association with increased wound breakdown rates.

Conclusions:

Preoperative identification of patients with risk factors for wound breakdown is crucial.
Screening for risk factors prior to TAA can help mitigate complications.
Proactive management of identified risk factors may improve TAA outcomes.