Total ankle replacement with antibiotic-impregnated cement: a case report on the infected ankle management
Ankle fracture infection is a devastating complication that can lead to chronic pain, limited motion, post-infectious end-stage ankle arthritis, osteomyelitis, and amputation. Treatment historically involves aggressive debridement, hardware removal, and long-term antibiotic therapy. We describe a c...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé
2025-04-01
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| Series: | Journal of the Foot & Ankle |
| Subjects: | |
| Online Access: | https://jfootankle.com/JournalFootAnkle/article/view/1846 |
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| Summary: | Ankle fracture infection is a devastating complication that can lead to chronic pain, limited motion, post-infectious end-stage ankle
arthritis, osteomyelitis, and amputation. Treatment historically involves aggressive debridement, hardware removal, and long-term
antibiotic therapy. We describe a case of post-infectious end-stage ankle arthritis treated with a custom, fixed-bearing, 3D printed total
ankle replacement with antibiotic-impregnated cement. The provided treatment allows continued elution of high-dose local antibiotics
while preserving the ankle range of motion and allowing immediate weight bearing postoperatively. Level of evidence V; Therapeutic studies; Expert opinion.
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| ISSN: | 2675-2980 |