Should Aspiration of the Ankle With an Antibiotic Spacer Be Performed Prior to Reimplantation?
RECOMMENDATION: We recommend that aspiration of the ankle with an antibiotic spacer prior to a second-stage reimplantation be strongly considered. Available studies indicate that a positive culture of the aspirate in this setting is predictive of residual infection, while a negative aspirate culture does not rule out infection and should be interpreted in light of other clinical indicators and laboratory values. LEVEL OF EVIDENCE: Consensus. DELEGATE VOTE: Agree: 92%, Disagree: 8%, Abstain: 0% (Super Majority, Strong Consensus).
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