Abstract

Total ankle arthroplasty (TAA) has been used with increasing frequency for the treatment of end-stage ankle arthritis. The rate of periprosthetic joint infection for TAA varies in the literature. When it occurs, it can have devastating consequences. Despite the large amount of literature published on the workup, treatment, and outcomes of periprosthetic joint infection in other areas of the body, there is a paucity of studies when it comes to the ankle. The results of surgical treatment of infected TAA are mixed and complication rates are high. The experience gained by the hip and knee surgeons, shoulder and elbow surgeons, and orthopedic trauma surgeons with regards to infection should be considered when managing patients with infected total ankle replacements. At the same time, it is critical that the issues unique to TAA infections be identified and discussed in the hope of defining a “standard of care” for these patients. Level of Evidence: Level IV. See Instructions for Authors for a complete description of levels of evidence.

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