A report of three cases which required tibialis anterior tendon resection to recover delayed wound healing after total ankle arthroplasty in patients with rheumatoid arthritis

Etani, Yuki; Ebina, Kosuke; Hirao, Makoto; Miyama, Akira; Hashimoto, Jun; Noguchi, Takaaki; Okamura, Gensuke; Takami, Kenji; Yoshikawa, Hideki

doi:https://doi.org/10.1080/24725625.2019.1641297

A report of three cases which required tibialis anterior tendon resection to recover delayed wound healing after total ankle arthroplasty in patients with rheumatoid arthritis

Etani, Yuki; Ebina, Kosuke; Hirao, Makoto et al.

Modern Rheumatology Case Reports, 2020, 4(1), 6-10

アクセス数:1,181件（2025-07-17 13:58 集計）

固定URL: https://hdl.handle.net/11094/93251

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タイトル	A report of three cases which required tibialis anterior tendon resection to recover delayed wound healing after total ankle arthroplasty in patients with rheumatoid arthritis
著者	NRID 1000060898930 1000060898930 ORCID 0000-0001-5741-5969 0000-0001-5741-5969 researchmap permalink Yetani0302 Yetani0302 著者名 Etani, Yuki
	NRID 1000070612076 1000070612076 researchmap permalink k-ebina k-ebina Scopus Author ID 8415453300 8415453300 ORCID 0000-0002-2426-1024 0000-0002-2426-1024 著者名 Ebina, Kosuke
	NRID 1000010527708 1000010527708 著者名 Hirao, Makoto
	著者名 Miyama, Akira
	NRID 1000040237938 1000040237938 著者名 Hashimoto, Jun
	著者名 Noguchi, Takaaki
	著者名 Okamura, Gensuke
	著者名 Takami, Kenji
	NRID 1000060191558 1000060191558 著者名 Yoshikawa, Hideki
キーワード等	Anterior approach
	delayed wound healing
	rheumatoid arthritis
	tibialis anterior tendon
	total ankle arthroplasty
内容	Etani Y., Ebina K., Hirao M., et al. A report of three cases which required tibialis anterior tendon resection to recover delayed wound healing after total ankle arthroplasty in patients with rheumatoid arthritis. Modern Rheumatology Case Reports 4, 6 (2020); https://doi.org/10.1080/24725625.2019.1641297.
抄録	Delayed wound healing is one of the severe complications after total ankle arthroplasty (TAA). In particular, once tibialis anterior (TA) tendon is exposed from tendon sheath of extensor retinaculum, wound healing will be critically intractable. We report three cases (mean age: 75.3 years old) of delayed wound healing after TAA cured by resection of TA tendon in patients with rheumatoid arthritis (RA). All three cases underwent TAA through an anterior approach, with careful suture of extensor retinaculum in wound closure. Ankle joint was fixed with splint and avoid weight bearing for three weeks after surgery. Delayed wound healing with TA tendon exposure was observed, and initially treated by debridement, basic fibroblast growth factor spray, and negative pressure wound therapy, which all failed to obtain wound healing. Finally, complete resection of TA tendon led to rapid wound healing. In all cases, ankle dorsal flexion was compensated by other extensors, with maintained range of motion and muscle strength (manual muscle testing 3 to 4) compared to pre-operation at 1 year after TAA operation. Resection of TA tendon may be considered as one of the salvage treatment options of severe delayed wound healing in TAA with anterior approach, especially in elderly patients.
出版者	Taylor and Francis Ltd.
収録物名	Modern Rheumatology Case Reports
巻(号)	4(1)
ページ	6-10
刊行年月	2020-01-02
言語	英語
ハンドルURL	https://hdl.handle.net/11094/93251
eISSN	24725625
関連情報 (isVersionOf)	DOI (出版社版) https://doi.org/10.1080/24725625.2019.1641297
アクセス権	open access
権利情報	This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
出版タイプ	Accepted Manuscript
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCMI資源タイプ	text
DCTERMS.bibliographicCitation	Modern Rheumatology Case Reports. 2020, 4(1), p. 6-10
DC.title	A report of three cases which required tibialis anterior tendon resection to recover delayed wound healing after total ankle arthroplasty in patients with rheumatoid arthritis
DC.creator	Etani, Yuki
	Ebina, Kosuke
	Hirao, Makoto
	Miyama, Akira
	Hashimoto, Jun
	Noguchi, Takaaki
	Okamura, Gensuke
	Takami, Kenji
	Yoshikawa, Hideki
DC.publisher	Taylor and Francis Ltd.
DC.language' scheme='DCTERMS.RFC1766	英語
DC.type' scheme='DCTERMS.DCMIType	text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2020-01-02
DC.identifier	https://doi.org/10.1080/24725625.2019.1641297
DC.subject	Anterior approach
	delayed wound healing
	rheumatoid arthritis
	tibialis anterior tendon
	total ankle arthroplasty
DC.description	Etani Y., Ebina K., Hirao M., et al. A report of three cases which required tibialis anterior tendon resection to recover delayed wound healing after total ankle arthroplasty in patients with rheumatoid arthritis. Modern Rheumatology Case Reports 4, 6 (2020); https://doi.org/10.1080/24725625.2019.1641297.
DCTERMS.abstract	Delayed wound healing is one of the severe complications after total ankle arthroplasty (TAA). In particular, once tibialis anterior (TA) tendon is exposed from tendon sheath of extensor retinaculum, wound healing will be critically intractable. We report three cases (mean age: 75.3 years old) of delayed wound healing after TAA cured by resection of TA tendon in patients with rheumatoid arthritis (RA). All three cases underwent TAA through an anterior approach, with careful suture of extensor retinaculum in wound closure. Ankle joint was fixed with splint and avoid weight bearing for three weeks after surgery. Delayed wound healing with TA tendon exposure was observed, and initially treated by debridement, basic fibroblast growth factor spray, and negative pressure wound therapy, which all failed to obtain wound healing. Finally, complete resection of TA tendon led to rapid wound healing. In all cases, ankle dorsal flexion was compensated by other extensors, with maintained range of motion and muscle strength (manual muscle testing 3 to 4) compared to pre-operation at 1 year after TAA operation. Resection of TA tendon may be considered as one of the salvage treatment options of severe delayed wound healing in TAA with anterior approach, especially in elderly patients.
DC.rights	This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
DC.format	93251
citation_title	A report of three cases which required tibialis anterior tendon resection to recover delayed wound healing after total ankle arthroplasty in patients with rheumatoid arthritis
citation_author	Etani, Yuki
	Ebina, Kosuke
	Hirao, Makoto
	Miyama, Akira
	Hashimoto, Jun
	Noguchi, Takaaki
	Okamura, Gensuke
	Takami, Kenji
	Yoshikawa, Hideki
citation_publisher	Taylor and Francis Ltd.
citation_language	英語
citation_date	2020-01-02
citation_journal_title	Modern Rheumatology Case Reports
citation_volume	4
citation_issue	1
citation_firstpage	6
citation_lastpage	10
citation_doi	https://doi.org/10.1080/24725625.2019.1641297
citation_public_url	https://hdl.handle.net/11094/93251

A report of three cases which required tibialis anterior tendon resection to recover delayed wound healing after total ankle arthroplasty in patients with rheumatoid arthritis

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