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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| Format: | Article |
| Language: | English |
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Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé
2025-04-01
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| Series: | Journal of the Foot & Ankle |
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| Online Access: | https://jfootankle.com/JournalFootAnkle/article/view/1846 |
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| author | Reyanne N. Strong Abigail E. Smith Nathaniel T. Koutlas James O. Sanders Trapper Lalli |
| author_facet | Reyanne N. Strong Abigail E. Smith Nathaniel T. Koutlas James O. Sanders Trapper Lalli |
| author_sort | Reyanne N. Strong |
| collection | DOAJ |
| description |
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.
|
| format | Article |
| id | doaj-art-96c3ed3cc95f4a7cb894a9783c75d082 |
| institution | DOAJ |
| issn | 2675-2980 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé |
| record_format | Article |
| series | Journal of the Foot & Ankle |
| spelling | doaj-art-96c3ed3cc95f4a7cb894a9783c75d0822025-08-20T03:18:20ZengAssociação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPéJournal of the Foot & Ankle2675-29802025-04-0119110.30795/jfootankle.2025.v19.1846Total ankle replacement with antibiotic-impregnated cement: a case report on the infected ankle managementReyanne N. Strong0https://orcid.org/0009-0008-9705-2881Abigail E. Smith1Nathaniel T. Koutlas2James O. Sanders3Trapper Lalli4https://orcid.org/0000-0001-8357-0428University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USAUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USAUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USAUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USAUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA 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. https://jfootankle.com/JournalFootAnkle/article/view/1846Arthroplasty, replacement, ankle; Arthritis, reactive; Antibiotic prophylaxis; Bone cements. |
| spellingShingle | Reyanne N. Strong Abigail E. Smith Nathaniel T. Koutlas James O. Sanders Trapper Lalli Total ankle replacement with antibiotic-impregnated cement: a case report on the infected ankle management Journal of the Foot & Ankle Arthroplasty, replacement, ankle; Arthritis, reactive; Antibiotic prophylaxis; Bone cements. |
| title | Total ankle replacement with antibiotic-impregnated cement: a case report on the infected ankle management |
| title_full | Total ankle replacement with antibiotic-impregnated cement: a case report on the infected ankle management |
| title_fullStr | Total ankle replacement with antibiotic-impregnated cement: a case report on the infected ankle management |
| title_full_unstemmed | Total ankle replacement with antibiotic-impregnated cement: a case report on the infected ankle management |
| title_short | Total ankle replacement with antibiotic-impregnated cement: a case report on the infected ankle management |
| title_sort | total ankle replacement with antibiotic impregnated cement a case report on the infected ankle management |
| topic | Arthroplasty, replacement, ankle; Arthritis, reactive; Antibiotic prophylaxis; Bone cements. |
| url | https://jfootankle.com/JournalFootAnkle/article/view/1846 |
| work_keys_str_mv | AT reyannenstrong totalanklereplacementwithantibioticimpregnatedcementacasereportontheinfectedanklemanagement AT abigailesmith totalanklereplacementwithantibioticimpregnatedcementacasereportontheinfectedanklemanagement AT nathanieltkoutlas totalanklereplacementwithantibioticimpregnatedcementacasereportontheinfectedanklemanagement AT jamesosanders totalanklereplacementwithantibioticimpregnatedcementacasereportontheinfectedanklemanagement AT trapperlalli totalanklereplacementwithantibioticimpregnatedcementacasereportontheinfectedanklemanagement |