Managing wound-Healing complications after total ankle replacement

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.