Should aspiration of the ankle with an antibiotic spacer be performed prior to reimplantation?

Authors: Daniel Fuchs, Selene Parekh

RECOMMENDATION: We recommend that aspiration of the ankle with an antibiotic spacer prior to a second-stage reimplantation should be strongly considered. Available studies indicate that a positive culture of the aspirate in this sett ing 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)

FA-17