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Total ankle replacement with antibiotic-impregnated cement: a case report on the infected ankle management

Year: 2025

Type: article

Abstract: Ankle fracture infection is a devastating complication that can lead to chronic pain, limited motion, post-infectious end-stage anklearthritis, osteomyelitis, and amputation. Treatment historically involves aggressive debridement, hardware removal, and long-termantibiotic therapy. We describe a case of post-infectious end-stage ankle arthritis treated with a custom, fixed-bearing, 3D printed totalankle replacement with antibiotic-impregnated cement. The provided treatment allows continued elution of high-dose local antibioticswhile preserving the ankle range of motion and allowing immediate weight bearing postoperatively. Level of evidence V; Therapeutic studies; Expert opinion.

Source: Journal of the Foot & Ankle

DOI: 10.30795/jfootankle.2025.v19.1846

Authors: Reyanne N. Strong, Abigail E. Smith, Nathaniel T. Koutlas, James O. Sanders, Trapper Lalli

Institution: University of North Carolina at Chapel Hill

Language: English

Topic: Orthopedic Infections and Treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4409451231

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