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Updated: May 16, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Polyarticular sepsis originating from a prior total ankle replacement
Sara L Borkosky1, Michael Mankovecky, Mark Prissel
1PGY-III, Gundersen Lutheran Medical Foundation, Mail Stop C03-006A, 1900 South Avenue, La Crosse, WI 54601, USA.
Clinics in Podiatric Medicine and Surgery
|November 21, 2012
Summary
Deep periprosthetic infections after total ankle arthroplasty require prompt management. A staged surgical approach with tissue resection can restore limb function and prevent life-threatening sepsis.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Management
Background:
- Increasing rates of primary total ankle arthroplasty necessitate heightened awareness of potential complications.
- Deep periprosthetic infection is a serious complication that can rapidly progress.
Observation:
- Untreated infections can lead to limb-threatening conditions.
- In rare cases, infection may spread to multiple joints, becoming life-threatening polyarticular joint sepsis.
Findings:
- A staged surgical approach involving medical stabilization and wide resection of necrotic tissue is crucial.
- This management strategy can effectively control the infection.
Implications:
- Successful management can prevent limb loss and restore function.
- Adherence to established principles is key for handling severe periprosthetic infections in total ankle arthroplasty.
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