Should Aspiration of the Ankle With an Antibiotic Spacer Be Performed Prior to Reimplantation?. (July 2019)

• Record Type: Journal Article
• Authors: Fuchs, Daniel; Parekh, Selene G.
• Is Part Of: Foot & ankle international. Volume 40:Number 1(2019)Supplement
• Page Start: 26S
• Page End: 27S
• Publication Date: 2019-07
• Subjects: Foot -- Abnormalities -- Periodicals; Ankle -- Abnormalities -- Periodicals; Orthopedics -- Periodicals; 617.585
• DOI: 10.1177/1071100719859569
• Languages: English
• ISSNs: 1071-1007

Abstract

Recommendation: We recommend that aspiration of the ankle with an antibiotic spacer prior to a second-stage reimplantation be strongly considered. Available studies indicate that a positive culture of the aspirate in this setting is predictive of residual infection, while a negative aspirate culture does not rule out infection and should be interpreted in light of other clinical indicators and laboratory values. Level of Evidence: Consensus. Delegate Vote: Agree: 92%, Disagree: 8%, Abstain: 0% (Super Majority, Strong Consensus)