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Abstract

Recommendation:

Culture-directed antibiotic therapy is recommended for patients undergoing operative treatment of infected total ankle arthroplasty (TAA). Routine administration of suppressive antibiotics in patients with an ankle prosthesis in place is not warranted; however, in certain clinical circumstances, this may be of benefit.

Level of Evidence:

Consensus.

Delegate Vote:

Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

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References

Frank

Kayupov

Moric

et al . The Mark Coventry, MD, Award: Oral antibiotics reduce reinfection after 2-stage exchange: a multicenter, randomized controlled trial. Clin Orthop Relat Res. 2017;475:56-61.

Myerson

Shariff

Zonno

. The management of infection following total ankle replacement: demographics and treatment. Foot Ankle Int. 2014;35(9):855-862.

Patton

Kiewiet

Brage

. Infected total ankle arthroplasty: risk factors and treatment options. Foot Ankle Int. 2015;36(6):626-634.

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Is There a Role for Suppressive Antibiotics in Patients With Periprosthetic Joint Infection (PJI) of Total Ankle Arthroplasty (TAA) Who Have Undergone Surgical Treatment?