{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T11:51:32Z","timestamp":1780487492189,"version":"3.54.1"},"reference-count":17,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2017,7,31]],"date-time":"2017-07-31T00:00:00Z","timestamp":1501459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/legalcode"}],"content-domain":{"domain":["openorthopaedicsjournal.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["TOORTHJ"],"published-print":{"date-parts":[[2017,7,31]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>There exists a high risk of post-operative complications with primary and revision total ankle replacement surgery.  Delayed wound healing of the anterior incision is  common.  The reason for this is multi-factorial and, to date, most of the research has focused on predisposing factors involving the patients themselves.  Only recently have researchers begun to look at the post-operative dressing as a possible consideration when trying to prevent incision wound healing complications.  Currently, no standard post-operative dressing for primary or revision total ankle replacement exists.  However, the principles of post-operative edema reduction to improve healing, as advocated by Sir Robert Jones and demonstrated in his compressive dressing, have been known for decades.  We have been using a modified Sir Robert Jones compressive dressing for both primary and revision total ankle replacements.  Recently, we have added an aperture pad made of cotton cast padding over the anterior incision in order to protect the area from pressure necrosis. <\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a comparison study of the post-operative wound complications involving 35 patients that received the original dressing and 33 patients that received the addition of the aperture pad.  <\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>With no significant difference in the patient populations, the results demonstrate a 3-fold decrease in the number of anterior incision wound healing complications with the use of the aperture pad.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This dressing represents a simple, reproducible, easy to apply and inexpensive way to prevent post-operative edema and anterior incision wound healing complications.<\/jats:p>\n                <\/jats:sec>","DOI":"10.2174\/1874325001711010678","type":"journal-article","created":{"date-parts":[[2017,8,8]],"date-time":"2017-08-08T10:26:42Z","timestamp":1502188002000},"page":"678-686","update-policy":"https:\/\/doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Anterior Incision Offloading for Primary and Revision Total Ankle Replacement: A Comparative Analysis of Two Techniques"],"prefix":"10.2174","volume":"11","author":[{"given":"Andrew D.","family":"Elliott","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas S.","family":"Roukis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"965","reference":[{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Jordan RW, Chahal GS, Chapman A. \n                    Is End-Stage Ankle Arthrodesis Best Managed with Total Ankle Replacement or Arthrodesis?  A systematic review Advances in Orthopedics.  \n                     2014; p. \n                    1.\n                    9.","DOI":"10.1155\/2014\/986285"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"945","DOI":"10.3113\/FAI.2009.0945","volume":"30","author":"Glazebrook M.A.","year":"2009","unstructured":"Glazebrook MA, Arsenault K, Dunbar M. \n                    Evidence-based classification of complications in total ankle arthroplasty. \n                    Foot Ankle Int  \n                    2009; \n                    30\n                    (10)\n                    : 945-9.","journal-title":"Foot Ankle Int."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"2150","DOI":"10.2106\/JBJS.I.00870","volume":"92","author":"Raikin S.M.","year":"2010","unstructured":"Raikin SM, Kane J, Ciminiello ME. \n                    Risk factors for incision-healing complications following total ankle arthroplasty. \n                    J Bone Joint Surg Am  \n                    2010; \n                    92\n                    (12)\n                    : 2150-5.","journal-title":"J. Bone Joint Surg. Am."},{"key":"ref4","first-page":"113","volume":"43","author":"Taylor G.I.","year":"1990","unstructured":"Taylor GI, Palmer JH. \n                    The vascular territories (angiosomes) of the body: Experimental studies and clinical applications. \n                    Br J Plast Surg  \n                    1990; \n                    43\n                    (1)\n                    : 113-41.","journal-title":"Br. J. Plast. Surg."},{"key":"ref5","author":"Attinger CE","year":"2006","unstructured":"Attinger CE, Evans KK, Bulan E, Blume P, Cooper P. \n                    Angiosomes of the foot and ankle and clinical implications for limb salvage \n                    Reconstruction, incision and revascularization Past Reconstr Surg \n                    2006.\n                    \n                 117(7S): 261S-293S.","journal-title":"Reconstruction, incision and revascularization. Past Reconstr Surg"},{"key":"ref6","unstructured":"Hoppenfeld S, deBoer P, Buckley R. \n                    The ankle and foot. In: \n                    Surgical Exposure in Orthopaedics The Anatomic Approach.  4th ed. \n                    Philadelphia: Lippincott Williams & Wilkins 2009; pp. \n                    \n                    \n                    \n                    623-93."},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Hintermann B, Valderrabano V. \n                    Ankle joint replacement. In: \n                    W\u00fclker N, Stephens MM, Cracchiolo A III, An Atlas of Foot and Ankle Surgery.  2nd ed. \n                    Abingdon, Oxon UK: Taylor & Francis 2005; pp. \n                    \n                    \n                    \n                    361-7.","DOI":"10.1201\/b14350-41"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"301","DOI":"10.3113\/FAI.2010.0301","volume":"31","author":"Whalen J.L.","year":"2010","unstructured":"Whalen JL, Spelsberg SC, Murray P. \n                    Wound breakdown after total ankle arthroplasty. \n                    Foot Ankle Int  \n                    2010; \n                    31\n                    (4)\n                    : 301-5.","journal-title":"Foot Ankle Int."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"412","DOI":"10.5999\/aps.2012.39.4.412","volume":"39","author":"Lee T.G.","year":"2012","unstructured":"Lee TG, Chung S, Chung YK. \n                    A retrospective review of iatrogenic skin and soft tissue injuries. \n                    Arch Plast Surg  \n                    2012; \n                    39\n                    (4)\n                    : 412-6.","journal-title":"Arch. Plast. Surg."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"787","DOI":"10.1177\/1071100715574934","volume":"36","author":"Matsumoto T.","year":"2015","unstructured":"Matsumoto T, Parekh SG. \n                    Use of negative pressure wound therapy on closed surgical incision after total ankle arthroplasty. \n                    Foot Ankle Int  \n                    2015; \n                    36\n                    (7)\n                    : 787-94.","journal-title":"Foot Ankle Int."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"719","DOI":"10.1177\/1071100714534217","volume":"35","author":"Hsu A.R.","year":"2014","unstructured":"Hsu AR, Franceschina D, Haddad SL. \n                    Technique Tip: A novel method of postoperative care following total ankle arthroplasty. \n                    Foot Ankle Int  \n                    2014; \n                    35\n                    (7)\n                    : 719-24.","journal-title":"Foot Ankle Int."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1177\/1938640008317357","volume":"1","author":"Schade V.L.","year":"2008","unstructured":"Schade VL, Roukis TS. \n                    Use of a surgical preparation and sterile dressing change during office visit treatment of chronic foot and ankle wounds decreases the incidence of infection and treatment costs. \n                    Foot Ankle Spec  \n                    2008; \n                    1\n                    (3)\n                    : 147-54.","journal-title":"Foot Ankle Spec."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1016\/S0196-6553(05)80201-9","volume":"20","author":"Horan T.C.","year":"1992","unstructured":"Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG. \n                    CDC definitions of nosocomial surgical site infections, 1992: A modification of CDC definitions of surgical wound infections. \n                    Am J Infect Control  \n                    1992; \n                    20\n                    (5)\n                    : 271-4.","journal-title":"Am. J. Infect. Control"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1871","DOI":"10.2106\/JBJS.K.00593","volume":"94","author":"Kessler B.","year":"2012","unstructured":"Kessler B, Sendi P, Graber P, et al. \n                    Risk factors for periprosthetic ankle joint infection: a case-control study. \n                    J Bone Joint Surg Am  \n                    2012; \n                    94\n                    (20)\n                    : 1871-6.","journal-title":"J. Bone Joint Surg. Am."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"855","DOI":"10.1177\/1071100714543643","volume":"35","author":"Myerson M.S.","year":"2014","unstructured":"Myerson MS, Shariff R, Zonno AJ. \n                    The management of infection following total ankle replacement: Demographics and treatment. \n                    Foot Ankle Int  \n                    2014; \n                    35\n                    (9)\n                    : 855-62.","journal-title":"Foot Ankle Int."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1016\/j.jhin.2014.10.008","volume":"89","author":"Zhu Y.","year":"2015","unstructured":"Zhu Y, Zhang F, Chen W, Liu S, Zhang Q, Zhang Y. \n                    Risk factors for periprosthetic joint infection after total joint arthroplasty: A systematic review and meta-analysis. \n                    J Hosp Infect  \n                    2015; \n                    89\n                    (2)\n                    : 82-9.","journal-title":"J. Hosp. Infect."},{"key":"ref17","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1302\/0301-620X.68B5.3782244","volume":"68","author":"Brodell J.D.","year":"1986","unstructured":"Brodell JD, Axon DL, Evarts CM. \n                    The Robert Jones bandage. \n                    J Bone Joint Surg Br  \n                    1986; \n                    68\n                    (5)\n                    : 776-9.","journal-title":"J. Bone Joint Surg. 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