000			03919nam a22005777a 4500
008			190827s20192019 xxu||||| |||| 00| 0 eng d
022			_a1268-7731
024			_a10.1016/j.fas.2019.07.015 [doi]
024			_aS1268-7731(19)30131-6 [pii]
040			_aOvid MEDLINE(R)
099			_a31427149
245			_aRisk factors for periprosthetic joint infection following total ankle replacement. [Review]
251			_aJournal of Foot & Ankle Surgery. 26(5):591-595, 2020 Jul.
252			_aJ Foot Ankle Surg. 26(5):591-595, 2020 Jul.
252			_zJ Foot Ankle Surg. 2019 Aug 07
253			_aFoot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
260			_c2020
260			_fFY2021
265			_saheadofprint
265			_sppublish
266			_d2019-08-27
268			_aJournal of Foot & Ankle Surgery. 2019 Aug 07
269			_fFY2020
520			_aBACKGROUND: Identifying preoperative patient characteristics that correlate with an increased risk of periprosthetic joint infection (PJI) following total ankle replacement (TAR) is of great interest to orthopaedic surgeons, as this may assist with appropriate patient selection. The purpose of this study is to systematically review the literature to identify risk factors that are associated with PJI following TAR.
520			_aCONCLUSIONS: Several risk factors were identified as having an association with PJI following TAR. These factors may alert surgeons that a higher rate of PJI is possible. However, because of the low level of evidence of reported studies, only a limited strength of recommendation can be ascribed to regard these as risk factors for PJI at this time.
520			_aCopyright (c) 2019 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
520			_aMETHODS: Utilizing the terms "(risk factor OR risk OR risks) AND (infection OR infected) AND (ankle replacement OR ankle arthroplasty)" we searched the PubMed/MEDLINE electronic databases. The quality of the included studies was then assessed using the AAOS Clinical Practice Guideline and Systematic Review Methodology. Recommendations were made using the overall strength of evidence.
520			_aRESULTS: Eight studies met the inclusion criteria. A limited strength of recommendation can be made that the following preoperative patient characteristics correlate with an increased risk of PJI following TAR: inflammatory arthritis, prior ankle surgery, age less than 65 years, body mass index less than 19, peripheral vascular disease, chronic lung disease, hypothyroidism, and low preoperative AOFAS hindfoot scores. There is conflicting evidence in the literature regarding the effect of obesity, tobacco use, diabetes, and duration of surgery.
546			_aEnglish
650			_a*Ankle Joint/su [Surgery]
650			_a*Arthritis, Infectious/ep [Epidemiology]
650			_a*Arthroplasty, Replacement, Ankle/ae [Adverse Effects]
650			_a*Prosthesis-Related Infections/ep [Epidemiology]
650			_a*Risk Assessment/mt [Methods]
650			_aArthritis, Infectious/et [Etiology]
650			_aBody Mass Index
650			_aGlobal Health
650			_aHumans
650			_aIncidence
650			_aProsthesis-Related Infections/et [Etiology]
650			_aRetrospective Studies
650			_aRisk Factors
651			_aMedStar Union Memorial Hospital
656			_aOrthopaedic Surgery
657			_aJournal Article
700			_aSchon, Lew C
790			_aAiyer AA, Kennedy JG, Parvizi J, Schon LC, Smyth NA
856			_uhttps://dx.doi.org/10.1016/j.fas.2019.07.015 _zhttps://dx.doi.org/10.1016/j.fas.2019.07.015 _zhttps://dx.doi.org/10.1016/j.fas.2019.07.015
856			_uhttps://dx.doi.org/10.1016/j.fas.2019.07.015 _zhttps://dx.doi.org/10.1016/j.fas.2019.07.015 _zhttps://dx.doi.org/10.1016/j.fas.2019.07.015
942			_cART _dArticle
999			_c4542 _d4542