Revisional total ankle arthroplasty for a unique case of late periprosthetic joint infection

We present a rare case of an infection seeding from a sinus infection in a patient who had previously undergone total ankle arthroplasty (TAA). Instances of sinus infections leading to periprosthetic joint infection (PJI) are uncommon. Effective diagnosis, management, and treatment are crucial. The surgical approach for these cases includes the removal of the loosened and painful tibial and talar components, eradication of the infection, and reconstruction. Once the infection has been resolved, the final procedure involves implanting a stemmed tibial and talar component. This technique offers an alternative to post-TAA ankle arthrodesis.