Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  General Surgery
  •  Minimally Invasive Surgery
  •  Gastroenterological Surgery
  •  Pediatric Surgery
  •  Transplant Surgery
  •  Breast Surgery
  •  Thoracic Surgery
  •  Plastic Surgery


Citation: Clin Surg. 2018;3(1):2000.Research Article | Open Access

Low Incidence Complication with Anteromedial Angiosome Based Approach to Total Ankle Arthroplasty: A Retrospective Analysis of 27 Cases

Edgardo Rodriguez-Collazo, Naren Patel, Stephen Frania, Dominic Rizzo, Arshad Khan and Narendra Patel

Department of Surgery, Presence Saint Joseph Hospital, USA

*Correspondance to: Edgardo Rodriguez-Collazo 

 PDF  Full Text DOI: 10.25107/2474-1647.2000


Background: Classical anterior approach to total ankle arthroplasty has been associated with high rate of wound healing complications. High complication rates have been due to poor tissue handling by surgeon or poor patient selection. Orthoplastic angiosome based approach would be to place the incision between two angiosomes for ideal wound healing. Here we describe a novel anteromedial orthoplastic dissection approach with low incidence of complications.Method: We reviewed medical charts of 27 patients who underwent anteromedial total ankle arthroplasty approach. We evaluated charts for wound healing complications, patient age, comorbidities and when passive and active ankle range of motion initiated from the day of surgery.Results: We found one out of 27 patients (3.7%) had wound healing complications. This patient required surgery for soft tissue coverage. Five out of the 27 (18.5%) patients were noted to be type II diabetic. We did not observe a correlation between diabetes as co-morbidity and wound complication.Conclusion: Anteromedial orthoplastic angiosome based dissection approach for total ankle arthroplasty is associated with low wound healing complications. This is very valuable in patients with poor tissue envelope from prior surgery or injuries as well as in patients with co-morbidities such as diabetes and inflammatory pathologies which have been shown to increase post operative complications with total ankle arthroplasty.


Total ankle replacement; Anteromedial ankle; Orthoplastic; Total ankle arthroplasty

Cite the article

Rodriguez-Collazo E, Agyen J. Low Incidence Complication with Anteromedial Angiosome Based Approach to Total Ankle Arthroplasty: A Retrospective Analysis of 27 Cases. Clin Surg. 2018; 3: 2000.

Search Our Journal

Journal Indexed In

Articles in PubMed

Monitoring an Ongoing Enhanced Recovery after Surgery (ERAS) Program: Adherence Improves Clinical Outcomes in a Comparison of Three Thousand Colorectal Cases
 PubMed  PMC  PDF  Full Text
Mesh Sprayer Device with Liquefied Mesh Delivery System: Proposed Alternative for Currently Available Meshes in Hernia Repair and Supplement to Abdominal Closure
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

PDGF/PDGFR Signaling in Cardiovascular Disease
 Abstract  PDF  Full Text
Prevalence of Temporomandibular Disorders and Some of Its Risk Factors, According to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)
 Abstract  PDF  Full Text
View More...