Sage Journals: Discover world-class research

Abstract

Recommendation:

Every intra-articular injection of the ankle is an invasive procedure associated with potential healthcare-associated infections, including periprosthetic joint infection (PJI) following total ankle arthroplasty (TAA). Based on the limited current literature, the ideal timing for elective TAA after corticosteroid injection for the symptomatic native ankle joint is unknown. The consensus workgroup recommends that at least 3 months pass after corticosteroid injection and prior to performing TAA.

Level of Evidence:

Limited.

Delegate Vote:

Agree: 92%, Disagree: 8%, Abstain: 0% (Super Majority, Strong Consensus)

Get full access to this article

View all access options for this article.

References

Bedard

Pugely

Elkins

et al . The John N. Insall Award: do intraarticular injections increase the risk of infection after TKA? Clin Orthop Relat Res. 2017;475:45-52.

Cancienne

Werner

Luetkemeyer

Browne

. Does timing of previous intra-articular steroid injection affect the post-operative rate of infection in total knee arthroplasty? J Arthroplasty. 2015;30:1879-1882.

Charalambous

Prodromidis

Kwaees

. Do intra-articular steroid injections increase infection rates in subsequent arthroplasty? A systematic review and meta-analysis of comparative studies. J Arthroplasty. 2014;29:2175-2180.

McIntosh

Hanssen

Wenger

Osmon

. Recent intraarticular steroid injection may increase infection rates in primary THA. Clin Orthop Relat Res. 2006;451:50-54.

Pereira

Kerr

Jolles

. Intra-articular steroid injection for osteoarthritis of the hip prior to total hip arthroplasty: is it safe? A systematic review. Bone Joint J. 2016;98B:1027-1035.

Schairer

Nwachukwu

Mayman

Lyman

Jerabek

. Preoperative hip injections increase the rate of periprosthetic infection after total hip arthroplasty. J Arthroplasty. 2016;31:166-169.e1.

Scuderi

. CORR Insights®: The John N. Insall Award: do intraarticular injections increase the risk of infection after TKA? Clin Orthop Relat Res. 2017;475:53-55.

Seror

Pluvinage

d’Andre

Benamou

Attuil

. Frequency of sepsis after local corticosteroid injection (an inquiry on 1160000 injections in rheumatological private practice in France). Rheumatology (Oxford) 1999;38:1272-1274.

Wang

Jiang

Tian

. Does previous intra-articular steroid injection increase the risk of joint infection following total hip arthroplasty or total knee arthroplasty? A meta-analysis. Med Sci Monit. 2014;20:1878-1883.

10.

Werner

Cancienne

Burrus

Park

Perumal

Cooper

. Risk of infection after intra-articular steroid injection at the time of ankle arthroscopy in a Medicare population. Arthroscopy. 2016;32:350-354.

11.

Xing

Yang

Chen

. Dose intraarticular steroid injection increase the rate of infection in subsequent arthroplasty: grading the evidence through a meta-analysis. J Orthop Surg Res. 2014;9:107.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.18 MB

Does Intra-articular Injection of the Ankle With Corticosteroids Increase the Risk of Subsequent Periprosthetic Joint Infection (PJI) Following Total Ankle Arthroplasty (TAA)? If So,How Long After a Prior Intra-articular Injection Can TAA Be Safely Performed?