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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Soft Tissue Reconstruction After Total Ankle Arthroplasty.
Yash J Avashia1, Ronnie L Shammas1, Suhail K Mithani2
1Division of Plastic Surgery, Duke University, Room 135, Brown Zone, Duke South, Durham, NC 27710, USA.
Foot and Ankle Clinics
|May 16, 2017
Summary
Wound complications after total ankle replacement are frequent. A multidisciplinary team, including plastic surgeons, is essential for successful wound management and positive outcomes.
Area of Science:
- Orthopedic Surgery
- Plastic Surgery
- Wound Healing
Background:
- Total ankle replacement (TAR) can lead to significant wound complications.
- Effective management of these complications is crucial for patient recovery and implant survival.
Purpose of the Study:
- To highlight the importance of a team approach in managing wound complications after total ankle replacement.
- To discuss surgical strategies, including flap techniques, for successful wound closure.
Main Methods:
- Review of cases involving wound complications post-total ankle replacement.
- Discussion of surgical techniques employed by plastic surgeons for wound reconstruction.
- Analysis of outcomes based on management strategies.
Main Results:
- Wound complications are a common challenge following total ankle replacement.
- A collaborative approach involving orthopedic and plastic surgery leads to better outcomes.
- Various flap techniques can effectively address complex wound defects.
Conclusions:
- A multidisciplinary team approach is vital for managing wound complications after total ankle replacement.
- Early and appropriate surgical intervention, including reconstructive plastic surgery techniques, improves functional recovery and reduces morbidity.
