{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T16:47:36Z","timestamp":1777567656431,"version":"3.51.4"},"reference-count":33,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jfas.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Foot and Ankle Surgery"],"published-print":{"date-parts":[[2022,7]]},"DOI":"10.1053\/j.jfas.2021.11.021","type":"journal-article","created":{"date-parts":[[2021,12,7]],"date-time":"2021-12-07T20:14:28Z","timestamp":1638908068000},"page":"802-806","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Postoperative Infection Rates After Total Ankle Arthroplasty: A Comparison With and Without the Use of a Surgical Helmet System"],"prefix":"10.1053","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0329-0069","authenticated-orcid":false,"given":"Eric","family":"So","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3233-5254","authenticated-orcid":false,"given":"Christopher A.","family":"Juels","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chad","family":"Seidenstricker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Walker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan T.","family":"Scott","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1053\/j.jfas.2021.11.021_bib0001","doi-asserted-by":"crossref","first-page":"945","DOI":"10.3113\/FAI.2009.0945","article-title":"Evidence-based classification of complications in total ankle arthroplasty","volume":"30","author":"Glazebrook","year":"2009","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2021.11.021_bib0002","doi-asserted-by":"crossref","DOI":"10.1155\/2013\/821650","article-title":"Treatment of periprosthetic infections: an economic snalysis","author":"Hernandez-Vaquero","year":"2013","journal-title":"Sci World J"},{"key":"10.1053\/j.jfas.2021.11.021_bib0003","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1016\/j.arth.2007.10.017","article-title":"Infection burden for hip and knee arthroplasty in the United States","volume":"23","author":"Kurtz","year":"2008","journal-title":"J Arthroplasty"},{"key":"10.1053\/j.jfas.2021.11.021_bib0004","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1007\/s00264-010-1144-z","article-title":"Infection in total hip replacement: meta-analysis","volume":"35","author":"Senthi","year":"2011","journal-title":"Int Orthop"},{"key":"10.1053\/j.jfas.2021.11.021_bib0005","doi-asserted-by":"crossref","first-page":"1272","DOI":"10.2106\/JBJS.E.00414","article-title":"Total ankle arthroplasty in inflammatory joint disease with use of two mobile-bearing designs","volume":"88- A","author":"Doets","year":"2006","journal-title":"J Bone Joint Surg [Am]"},{"key":"10.1053\/j.jfas.2021.11.021_bib0006","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.fas.2009.06.001","article-title":"The AES total ankle replacement: a mid-term analysis of 93 cases","volume":"16","author":"Henricson","year":"2010","journal-title":"Foot Ankle Surg"},{"key":"10.1053\/j.jfas.2021.11.021_bib0007","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1302\/0301-620X.96B6.33298","article-title":"The treatment and outcome of peri-prosthetic infection of the ankle: a single cohort-centre experience of 34 cases","volume":"96-B","author":"Kessler","year":"2014","journal-title":"Bone Joint J"},{"key":"10.1053\/j.jfas.2021.11.021_bib0008","doi-asserted-by":"crossref","first-page":"1871","DOI":"10.2106\/JBJS.K.00593","article-title":"Risk factors for periprosthetic ankle joint infection: a case-control study","volume":"94","author":"Kessler","year":"2012","journal-title":"J Bone Joint Surg Am"},{"key":"10.1053\/j.jfas.2021.11.021_bib0009","doi-asserted-by":"crossref","first-page":"1658","DOI":"10.2106\/00004623-199611000-00004","article-title":"Clinical results of the Mayo total ankle arthroplasty","volume":"78-A","author":"Kitaoka","year":"1996","journal-title":"J Bone Joint Surg [Am]"},{"key":"10.1053\/j.jfas.2021.11.021_bib0010","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.2106\/00004623-200406000-00007","article-title":"The agility total ankle arthroplasty. Seven to sixteen-year follow-up","volume":"86-A","author":"Knecht","year":"2004","journal-title":"J Bone Joint Surg Am"},{"key":"10.1053\/j.jfas.2021.11.021_bib0011","doi-asserted-by":"crossref","first-page":"978","DOI":"10.3113\/FAI.2008.0978","article-title":"Perioperative complications of HINTEGRA total ankle replacement: our initial 50 cases","volume":"29","author":"Lee","year":"2008","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2021.11.021_bib0012","doi-asserted-by":"crossref","first-page":"440","DOI":"10.3109\/17453670903153568","article-title":"Total ankle prostheses in rheumatoid arthropathy: outcome in 52 patients followed for 1-9 years","volume":"80","author":"van der Heide","year":"2009","journal-title":"Acta Orthop"},{"key":"10.1053\/j.jfas.2021.11.021_bib0013","doi-asserted-by":"crossref","first-page":"1645","DOI":"10.1056\/NEJMra040181","article-title":"Prosthetic-joint infections","volume":"351","author":"Zimmerli","year":"2004","journal-title":"N Engl J Med"},{"key":"10.1053\/j.jfas.2021.11.021_bib0014","doi-asserted-by":"crossref","first-page":"3065","DOI":"10.1007\/s11999-011-1883-1","article-title":"Sterility of the personal protection system in total joint arthroplasty","volume":"469","author":"Kearns","year":"2011","journal-title":"Clin Orthop Relat Res"},{"key":"10.1053\/j.jfas.2021.11.021_bib0015","series-title":"Low Friction Arthroplasty of the Hip: Theory and Practice","author":"Charnley","year":"1979"},{"key":"10.1053\/j.jfas.2021.11.021_bib0016","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1302\/0301-620X.85B4.13363","article-title":"Body-exhaust suit versus occlusive clothing: a randomized, prospective trial using air and wound bacterial counts","volume":"85-B","author":"Der Tavitian","year":"2003","journal-title":"J Bone Joint Surg [Br]"},{"issue":"suppl C","key":"10.1053\/j.jfas.2021.11.021_bib0017","first-page":"18","article-title":"Air, antibiotics and sepsis in replacement joints","volume":"11","author":"Lidwell","year":"1998","journal-title":"J Hosp Infect"},{"key":"10.1053\/j.jfas.2021.11.021_bib0018","doi-asserted-by":"crossref","first-page":"1565","DOI":"10.1007\/s00402-017-2795-7","article-title":"Do surgical helmet systems affect intraoperative wound contamination? A randomized controlled trial","volume":"137","author":"Shirley","year":"2017","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1053\/j.jfas.2021.11.021_bib0019","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1007\/s00590-013-1178-1","article-title":"Intraoperative contamination and space suits: a potential mechanism","volume":"24","author":"Young","year":"2014","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1053\/j.jfas.2021.11.021_bib0020","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/0195-6701(83)90026-9","article-title":"The influence of the total body exhaust suit on air and wound contamination in elective hip-operations","volume":"4","author":"Blomgren","year":"1983","journal-title":"J Hosp Infect"},{"key":"10.1053\/j.jfas.2021.11.021_bib0021","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1302\/0301-620X.93B1.24862","article-title":"Does the use of laminar flow and space suits reduce early deep infection after total hip and knee replacement?: the ten-year results of the New Zealand Joint Registry","volume":"93","author":"Hooper","year":"2011","journal-title":"J Bone Joint Surg Br"},{"key":"10.1053\/j.jfas.2021.11.021_bib0022","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s12178-018-9498-8","article-title":"Centers for disease control and prevention 2017 guidelines for prevention of surgical site infections: review and relevant recommendations","volume":"11","author":"Boyle","year":"2018","journal-title":"Curr Rev Musculoskelet Med"},{"key":"10.1053\/j.jfas.2021.11.021_bib0023","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1016\/j.arth.2014.03.009","article-title":"Definition of periprosthetic joint infection","volume":"29","author":"Parvizi","year":"2014","journal-title":"J Arthroplasty"},{"key":"10.1053\/j.jfas.2021.11.021_bib0024","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.1302\/0301-620X.95B11.33135","article-title":"Proceedings of the international consensus on periprosthetic joint infection","volume":"95-B","author":"Parvizi","year":"2013","journal-title":"Bone Joint J"},{"key":"10.1053\/j.jfas.2021.11.021_bib0025","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1007\/s11999-010-1688-7","article-title":"Current concepts for clean air and total joint arthroplasty: laminar airflow and ultraviolet radiation: a systematic review","volume":"469","author":"Evans","year":"2011","journal-title":"Clin Orthop"},{"issue":"7 suppl 3","key":"10.1053\/j.jfas.2021.11.021_bib0026","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.arth.2007.05.013","article-title":"Principles of a clean operating room environment","volume":"22","author":"Howard","year":"2007","journal-title":"J Arthroplasty"},{"key":"10.1053\/j.jfas.2021.11.021_bib0027","doi-asserted-by":"crossref","first-page":"2690","DOI":"10.1007\/s11999-012-2252-4","article-title":"Operating room traffic is a major concern during total joint arthroplasty","volume":"470","author":"Panahi","year":"2012","journal-title":"Clin Orthop Relat Res"},{"key":"10.1053\/j.jfas.2021.11.021_bib0028","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1177\/230949901101900222","article-title":"Sterile surgical helmet system in elective total hip and knee arthroplasty","volume":"19","author":"Singh","year":"2011","journal-title":"J Orthop Surg"},{"key":"10.1053\/j.jfas.2021.11.021_bib0029","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.1302\/0301-620X.91B8.22079","article-title":"Splash in elective primary knee and hip replacement: are we adequately protected?","volume":"91","author":"Singh","year":"2009","journal-title":"J Bone Joint Surg Br"},{"key":"10.1053\/j.jfas.2021.11.021_bib0030","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1016\/j.jhin.2018.06.005","article-title":"A microbiological assessment of sterile surgical helmet systems using particle counts and culture plates: recommendations for safe use whilst scrubbing","volume":"101","author":"Moores","year":"2019","journal-title":"J Hospit Infect"},{"key":"10.1053\/j.jfas.2021.11.021_bib0031","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1016\/j.arth.2015.10.039","article-title":"Contamination relative to the activation timing of filtered-exhaust helmets","volume":"31","author":"Hanselman","year":"2016","journal-title":"J Arthroplasty"},{"key":"10.1053\/j.jfas.2021.11.021_bib0032","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.jhin.2016.05.002","article-title":"In-vitro evaluation of surgical helmet systems for protecting surgeons from droplets generated during orthopaedic procedures","volume":"94","author":"Wendlandt","year":"2016","journal-title":"J Hosp Infect"},{"key":"10.1053\/j.jfas.2021.11.021_bib0033","doi-asserted-by":"crossref","first-page":"1500","DOI":"10.1302\/0301-620X.95B11.31633","article-title":"The outcome of total ankle replacement: a systematic review and meta-analysis","volume":"95","author":"Zaidi","year":"2013","journal-title":"Bone Joint J"}],"container-title":["The Journal of Foot and Ankle Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1067251621004853?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1067251621004853?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T05:11:43Z","timestamp":1761023503000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1067251621004853"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["S1067251621004853"],"URL":"https:\/\/doi.org\/10.1053\/j.jfas.2021.11.021","relation":{},"ISSN":["1067-2516"],"issn-type":[{"value":"1067-2516","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Postoperative Infection Rates After Total Ankle Arthroplasty: A Comparison With and Without the Use of a Surgical Helmet System","name":"articletitle","label":"Article Title"},{"value":"The Journal of Foot and Ankle Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1053\/j.jfas.2021.11.021","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 by the American College of Foot and Ankle Surgeons. All rights reserved.","name":"copyright","label":"Copyright"}]}}