What Are the Benefits and Risks Associated With the Use of Vancomycin Powder in the Wound During Total Ankle Arthroplasty (TAA) or Other Foot and Ankle Procedures?

Foot Ankle Int. 2019 Jul;40(1_suppl):12S-14S. doi: 10.1177/1071100719859010.

Abstract

Recommendation: Though one study supporting topically applied vancomycin has shown it to reduce the rate of deep infection in diabetic patients undergoing foot and ankle surgery, there is insufficient evidence to show benefits or to show any risks associated with the use of vancomycin powder during total ankle arthroplasty (TAA) or other foot and ankle procedures in a general population.

Level of evidence: Consensus.

Delegate vote: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus).

MeSH terms

  • Administration, Topical
  • Ankle / surgery
  • Anti-Bacterial Agents / administration & dosage*
  • Arthroplasty, Replacement, Ankle
  • Consensus
  • Foot / surgery
  • Humans
  • Intraoperative Care
  • Powders / administration & dosage*
  • Prosthesis-Related Infections / microbiology
  • Prosthesis-Related Infections / prevention & control*
  • Surgical Wound Infection / microbiology
  • Surgical Wound Infection / prevention & control*
  • Vancomycin / administration & dosage*

Substances

  • Anti-Bacterial Agents
  • Powders
  • Vancomycin