What metrics can be used to determine the optimal timing of reimplantation in patients who have undergone resection arthroplasty as part of a two-stage exchange for infected total ankle arthroplasty (TAA)?

What metrics can be used to determine the optimal timing of reimplantation in patients who have undergone resection arthroplasty as part of a two-stage exchange for infected total ankle arthroplasty (TAA)?

Authors: Eric Senneville, Gaston Slullitel, Valeria Lopez

RECOMMENDATION: There is no conclusive data regarding what metrics can be used in order to determine the optimal timing of reimplantation for an infected TAA. We recommend that reimplantation is performed when there are clinical signs of resolution of infection (well healed wound, lack of erythema, etc.), and the serological markers have substantially declined (> 40%) from baseline (measured at the time of diagnosis of infection).

LEVEL OF EVIDENCE: Consensus

DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

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