Low Incidence Complication with Anteromedial Angiosome Based Approach to Total Ankle Arthroplasty: A Retrospective Analysis of 27 Cases

Edgardo Rodriguez-Collazo, Naren Patel, Stephen Frania, Dominic Rizzo, Arshad Khan and Narendra Patel

Department of Surgery, Presence Saint Joseph Hospital, USA

^*Correspondance to: Edgardo Rodriguez-Collazo 

 PDF  Full Text DOI: 10.25107/2474-1647.2000

Abstract

Background: Classical anterior approach to total ankle arthroplasty has been associated with high rate of wound healing complications. High complication rates have been due to poor tissue handling by surgeon or poor patient selection. Orthoplastic angiosome based approach would be to place the incision between two angiosomes for ideal wound healing. Here we describe a novel anteromedial orthoplastic dissection approach with low incidence of complications.Method: We reviewed medical charts of 27 patients who underwent anteromedial total ankle arthroplasty approach. We evaluated charts for wound healing complications, patient age, comorbidities and when passive and active ankle range of motion initiated from the day of surgery.Results: We found one out of 27 patients (3.7%) had wound healing complications. This patient required surgery for soft tissue coverage. Five out of the 27 (18.5%) patients were noted to be type II diabetic. We did not observe a correlation between diabetes as co-morbidity and wound complication.Conclusion: Anteromedial orthoplastic angiosome based dissection approach for total ankle arthroplasty is associated with low wound healing complications. This is very valuable in patients with poor tissue envelope from prior surgery or injuries as well as in patients with co-morbidities such as diabetes and inflammatory pathologies which have been shown to increase post operative complications with total ankle arthroplasty.

Keywords

Total ankle replacement; Anteromedial ankle; Orthoplastic; Total ankle arthroplasty

Cite the article

Rodriguez-Collazo E, Agyen J. Low Incidence Complication with Anteromedial Angiosome Based Approach to Total Ankle Arthroplasty: A Retrospective Analysis of 27 Cases. Clin Surg. 2018; 3: 2000.