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

Number of Access:1,244（2025-09-03 11:38 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/93251

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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
Creator
NRID
1000060898930 1000060898930
ORCID
0000-0001-5741-5969 0000-0001-5741-5969
researchmap permalink
Yetani0302 Yetani0302
CreatorName
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
CreatorName
Ebina, Kosuke
NRID
1000010527708 1000010527708
CreatorName
Hirao, Makoto
CreatorName
Miyama, Akira
NRID
1000040237938 1000040237938
CreatorName
Hashimoto, Jun
CreatorName
Noguchi, Takaaki
CreatorName
Okamura, Gensuke
CreatorName
Takami, Kenji
NRID
1000060191558 1000060191558
CreatorName
Yoshikawa, Hideki
Subject
Anterior approach
delayed wound healing
rheumatoid arthritis
tibialis anterior tendon
total ankle arthroplasty
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.
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.
Publisher
Taylor and Francis Ltd.
Source Title
Modern Rheumatology Case Reports
Volume (Issue)
4(1)
Page
6-10
Date of Issued
2020-01-02
Language
English
Handle URL
https://hdl.handle.net/11094/93251
eISSN
24725625
Relation.isVersionOf
DOI (Publisher Version)
https://doi.org/10.1080/24725625.2019.1641297
Access Rights
open access
CopyRight
This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
oaire:version
Accepted Manuscript
Category
学術雑誌論文 Journal Article