Advertisement

Managing Wound-Healing Complications After Total Ankle Replacement

  • Christopher Bibbo
  • Stephen J. Kovach
Chapter

Abstract

Incision breakdown of the operative incision resulting in a wound is commonly encountered as a complication following total ankle replacement surgery. Healing problems can progress from superficial wounds to full-thickness necrosis of the skin and deeper tissues jeopardizing the ultimate retention of the prosthetic components leading to compromised patient outcomes. Preoperative identification of patient risk factors associated with breakdown of the operative incision after total ankle replacement should improve outcome of the procedure. Screening of those patients with risk factors for wound breakdown is recommended prior to total ankle replacement. A multidisciplinary approach should ensure once wound breakdown is identified to expedite soft-tissue coverage and preserve function of the total ankle replacement as well as maintain options for revision in the future.

Keywords

Ankle replacement Ankle arthroplasty Wound breakdown Wound necrosis 

References

  1. 1.
    Myerson MS, Mroczek K. Perioperative complications of total ankle arthroplasty. Foot Ankle Int. 2003;24(1):17–21.CrossRefPubMedGoogle Scholar
  2. 2.
    Whalen JL, Spelsberg SC, Murray P. Wound breakdown after total ankle arthroplasty. Foot Ankle Int. 2010;31(1):301–5.CrossRefPubMedGoogle Scholar
  3. 3.
    Spirit AA, Assal M, Hansen Jr ST. Complications and failure after total ankle arthroplasty. J Bone Joint Surg Am. 2004;86(6):1172–8.CrossRefGoogle Scholar
  4. 4.
    Saltzman C, Mann RA, Ahrens JE, Amendola A, Anderson RB, Berlet GC, et al. Prospective controlled trial of STAR total ankle replacement versus ankle fusion: initial results. Foot Ankle Int. 2009;30(7):579–96.CrossRefPubMedGoogle Scholar
  5. 5.
    Claridge RJ, Sagherian BH. Intermediate term outcome of the Agility ankle arthroplasty. Foot Ankle Int. 2009;30(9):824–35.CrossRefPubMedGoogle Scholar
  6. 6.
    Bibbo C, Kovach SJ. Soft-tissue coverage of exposed orthopaedic trauma implants. Curr Orthop Pract. 2015;26(1):45–55.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryMarshfield ClinicMarshfieldUSA
  2. 2.Division of Plastic Surgery, Department of Orthopaedic SurgeryHospital of the University of PennsylvaniaPhiladelphiaUSA
  3. 3.Division of Plastic SurgeryPerelman Center for Advanced MedicinePhiladelphiaUSA

Personalised recommendations