Does Intra-articular Injection of the Ankle With Corticosteroids Increase the Risk of Subsequent Periprosthetic Joint Infection (PJI) Following Total Ankle Arthroplasty (TAA)? If So, How Long After a Prior Intra-articular Injection Can TAA Be Safely Performed?

• Published in: Foot & ankle international Vol. 40; no. 1_suppl; pp. 3S - 4S
• Main Authors: Uçkay, Ilker, Hirose, Christopher B., Assal, Mathieu
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01-07-2019
• Subjects: Adrenal Cortex Hormones - administration & dosage; Adrenal Cortex Hormones - adverse effects; Ankle Joint; Arthroplasty, Replacement, Ankle; Consensus; Humans; Injections, Intra-Articular - adverse effects; Osteoarthritis - drug therapy; Osteoarthritis - surgery; Prosthesis-Related Infections - etiology; Risk Factors; Time Factors
• ISSN: 1071-1007; 1944-7876
• DOI: 10.1177/1071100719857082

Recommendation:
Every intra-articular injection of the ankle is an invasive procedure associated with potential healthcare-associated infections, including periprosthetic joint infection (PJI) following total ankle arthroplasty (TAA). Based on the limited current literature, the ideal timing for elective TAA after corticosteroid injection for the symptomatic native ankle joint is unknown. The consensus workgroup recommends that at least 3 months pass after corticosteroid injection and prior to performing TAA.
Level of Evidence:
Limited.
Delegate Vote:
Agree: 92%, Disagree: 8%, Abstain: 0% (Super Majority, Strong Consensus)