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Peripheral Artery Disease V: Postoperative Nursing Management01:23

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Self-assembly of hard anions around cationic gold nanorods: potential structures for SERS.

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Consumer Interest in Total Ankle Replacements Over the Last 10 Years: A Google Trends™ Analysis From 2009 to 2019.

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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Risk Stratification for Revision Surgery Following Total Ankle Replacement.

Matthew Knabel1, Jeremy J Cook2, Philip Basile3

  • 1Chief Resident, Division of Podiatric Surgery, Department of Surgery, Mount Auburn Hospital, Cambridge, MA; Clinical Fellow in Surgery, Harvard Medical School, Boston, MA.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|November 17, 2021
PubMed
Summary
This summary is machine-generated.

Total ankle replacement (TAR) complications are common, affecting 75.6% of patients. This study proposes an updated classification system for TAR complications to improve risk stratification and surgical outcomes.

Keywords:
ankle replacementankle surgeryrevision surgeryrisk stratificationtotal ankle replacement

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Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Medical device technology

Background:

  • Total ankle replacement (TAR) is an increasingly viable surgical option for end-stage ankle arthritis due to implant advancements.
  • However, TAR procedures are associated with significant intraoperative and postoperative complication rates.

Purpose of the Study:

  • To develop a comprehensive complication classification system for total ankle replacement (TAR) using recent implant data.
  • To stratify the risk of subsequent surgeries associated with TAR complications.

Main Methods:

  • A systematic review of 16 studies (2013-2018) involving 3,305 total ankle replacements (TAR) was conducted.
  • Inclusion criteria focused on current implants, minimum patient numbers, and follow-up duration; revision cases and non-peer-reviewed articles were excluded.

Main Results:

  • The overall survival rate for TAR implants was 93%.
  • A pooled complication rate of 75.6% was identified using existing classification criteria.
  • Existing systems by Gadd et al. and Glazebrook et al. showed limitations in defining and classifying all complications.

Conclusions:

  • An updated classification system is proposed to better capture complications associated with current total ankle replacement (TAR) implants.
  • This enhanced system aims to provide more accurate complication reporting and risk stratification for improved procedural success.