Reduction in Wound Complications After Total Ankle Arthroplasty Using a Compression Wrap Protocol

Schipper, Oliver N.; Hsu, Andrew R.; Haddad, Steven L.

doi:10.1177/1071100715597437

Cited by 25 publications

(14 citation statements)

References 22 publications

(25 reference statements)

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“…Wound healing complications affect up to 60% of patients undergoing ankle arthroplasty via a traditional anterior approach. 15,25,30,33 The lateral approach to the tibiotalar joint minimizes the disruption of blood supply to the skin, which may reduce the risk of wound healing complications. 39 In our series, 2.2% of patients had wound healing complications.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Radiological Outcomes of Transfibular Total Ankle Arthroplasty

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Clinical and Radiological Outcomes of Transfibular Total Ankle Arthroplasty

et al. 2018

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“…In a similar study of patients with obesity, a risk factor believed to be the cause of increased complications after TAA, Gross showed that obese patients can safely undergo TAA and despite having lower functional outcomes initially, their functional and pain scores continue to improve [117]. Schipper et al showed that the use of compression dressing led to a reduction in wound complications and a higher rate of healed wounds 3months postoperatively [118].…”

Section: Surgicalmentioning

confidence: 99%

Management of Posttraumatic Ankle Arthritis: Literature Review

Ewalefo

Dombrowski

Hirase

et al. 2018

Curr Rev Musculoskelet Med

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Purpose of Review Trauma is the principle cause of osteoarthritis in the ankle, which is associated with significant morbidity. This review highlights the current literature for the purpose of bringing the reader up-to-date on the management of posttraumatic ankle arthritis, describing treatment efficacy, indications, contraindications, and complications. Recent Findings Recent studies on osteoarthritis have demonstrated variability among anatomic locations regarding the mechanisms and rates of development for posttraumatic osteoarthritis, which are attributed to newly discovered biological differences intrinsic to each joint. Regarding surgical management of posttraumatic ankle arthritis, osteochondral allograft transplantation of the talus, and supramalleolar osteotomies have demonstrated promising results. Additionally, the outpatient setting was found to be appropriate for managing pain following total ankle arthroplasty, associated with low complication rates and no readmission. Summary Management for posttraumatic ankle arthritis is generally progressive. Initial treatment entails nonpharmacologic options with surgery reserved for posttraumatic ankle arthritis refractory to conservative treatment. Patient demographics and lifestyles should be carefully considered when formulating a management strategy, as outcomes are dependent upon the satisfaction of each set of respective criteria. Ultimately, the management of posttraumatic ankle arthritis should be individualized to satisfy the needs and desires, which are specific to each patient.

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“…Glazebrook et al demonstrated that deep infections, like aseptic loosening and implant failure, are a major problem as implant failure occurred 80.6% of the time with more than half of the infections going on to revision, similar to implant loosening and component failure. 21 Ensuring adequate wound healing to protect implanted components is of such importance that postoperative bandaging protocols as well as algorithms for local wound complications have been developed 22,23 and others have evaluated how local flap coverage for wound complications have affected outcomes. 24 The burden of surgical wound compromise and infection prompts a need for early prevention.…”

Section: Discussionmentioning

confidence: 99%