title: Polyarticular sepsis originating from a prior total ankle replacement.
abstract: As more primary total ankle arthroplasty procedures are being performed, an increased awareness of potential complications is needed. One such complication is a deep periprosthetic infection which, if left untreated, can quickly evolve into a limb-threatening infection. In rare instances the infection can propagate into a polyarticular joint sepsis and become life threatening. By adhering to the basic principles of medical stabilization and surgical intervention in a staged approach with adequate wide resection of all necrotic tissue, this potentially life-threatening situation can be managed and a functional limb can be restored.
authors.affiliation: PGY-III, Gundersen Lutheran Medical Foundation, Mail Stop C03-006A, 1900 South Avenue, La Crosse, WI 54601, USA.
authors.forename: Sara L
authors.initials: SL
authors.lastname: Borkosky
authors.forename: Michael
authors.initials: M
authors.lastname: Mankovecky
authors.forename: Mark
authors.initials: M
authors.lastname: Prissel
authors.forename: Thomas S
authors.initials: TS
authors.lastname: Roukis
mesh_terms: D000369:Aged, 80 and over; D001168:Arthritis / Q000000981:diagnostic imaging / Q000601:surgery*; D001170:Arthritis, Infectious / Q000000981:diagnostic imaging / Q000601:surgery*; D058737:Arthroplasty, Replacement, Ankle / Q000295:instrumentation* / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D009336:Necrosis / Q000000981:diagnostic imaging / Q000601:surgery; D011182:Postoperative Care; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011474:Prosthesis Design / Q000295:instrumentation*; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012086:Reoperation / Q000295:instrumentation / Q000379:methods; D012307:Risk Factors; D016879:Salvage Therapy / Q000379:methods; D013709:Tendon Transfer / Q000379:methods