Clinical Results of the Mayo Total Ankle Arthroplasty*

What are the Patterns of Prophylactic Postoperative Oral Antibiotic Use After Foot and Ankle Surgery?

“…Use of prophylactic postoperative oral antibiotics is even less defined. In the orthopaedic literature, there has been greater concern for surgical site infections after foot and ankle surgery than in other disciplines [29,34,47,48,58,59,61,64], and many foot and ankle surgeries are performed in an outpatient setting, precluding postoperative intravenous prophylactic antibiotics while admitted. As such, many surgeons elect to prescribe prophylactic postoperative oral antibiotics.…”

“…The risk of surgical site infection after orthopaedic surgery remains a challenging issue [52,57], often with greater concern after foot and ankle surgery than at other sites [29,34,47,48,58,59,61,64]. Infection reportedly complicates from 0.5% to 6.5% [66] of most clean orthopaedic surgeries, although a much greater risk is found in the population with neuropathic diabetes after foot and ankle surgery [64].…”

Total ankle replacement in rheumatoid arthritis

“…Dini et al [3] reported that of 21 Smith total ankle replacements, only 50% were rated as good at the 3-year follow-up. Kitaoka et al [4] also reported poor results of 204 Mayo-type, total ankle replacements at the 9-year follow-up and stated that "we no longer recommend ankle arthroplasty." Bolton-Maggs et al [1] reported the results of 62 total ankle replacements after 5.5 years' follow-up and reported only 13 ankles that could be described as satisfactory.…”

Thermoelastic stress analysis to validate tibial fixation technique in total ankle prostheses - a pilot study.

“…[1,2] Prosthetic replacements of the ankle joint have so far eventually failed or have yielded unsatisfactory results. [3][4][5] This likely explains why arthroplasty at the upper ankle joint remains a questionable procedure, despite the fact that the first total ankle replacements (TARs) were performed in 1970, while the number of total hip and knee arthroplasties performed steadily increases. [6][7][8] With implant loosening rates around 60-90% within the first 10 years, the number of failed systems was considerably higher than in knee or hip replacement.…”