The Use of Closed Incision Negative Pressure Therapy Immediately After Total Ankle Arthroplasty Surgeries

Sidorski, Alexandra; Lundeen, Gregory A.

doi:10.7759/cureus.8606

Cited by 2 publications

(1 citation statement)

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“…A previous report showed that patients needed a skin flap procedure in 1.9% of primary TAAs because of wound problems, and then, among them, 21.1% of patients had flap failures [ 6 ]. While it is reported that a significantly decreased incidence of wound healing problems after primary total ankle arthroplasty was seen using incisional NPWT dressings [ 7 , 8 ]. So, NPWT would be also useful to be utilized for infectious wound dehiscence after TAA.…”

Section: Discussionmentioning

confidence: 99%

Early Resection of the Tibialis Anterior Tendon for Tendon Exposure After Total Ankle Arthroplasty to Prevent Deep Infection: A Report of Three Cases in Patients With Rheumatoid Arthritis

Noguchi,

Hirao,

Okamura

et al. 2023

Cureus

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Exposure of the tibialis anterior (TA) tendon with wound dehiscence after total ankle arthroplasty (TAA) with the anterior approach is a problematic complication, especially in rheumatoid arthritis (RA) patients. Once the TA tendon is exposed, the duration of wound healing is prolonged, and it could be a risk factor for deep infection. Thus, early resection of the TA tendon was evaluated for tendon exposure with wound dehiscence after TAA in RA patients. In this case report, three rheumatoid ankles that showed wound dehiscence with exposure of the TA tendon after TAA with the anterior approach are presented. Early resection of the TA tendon and debridement under local anesthesia were performed within two days after wound dehiscence. In all cases, wound healing was completed within two weeks after the treatment. Drop foot was not seen in any patients, and there was no difference between the pre and postoperative (1 year after TAA) range of dorsiflexion. Muscle strength for ankle dorsiflexion was also maintained. In conclusion, early resection of the TA tendon appears to be a useful option for undesirable tendon exposure with wound dehiscence to prevent deep infection and prolonged wound healing after total ankle arthroplasty in RA patients.

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Section: Discussionmentioning

confidence: 99%