April 30, 2026 · Foot & ankle international · DOI: 10.1177/10711007261436417

Surgical Helmet Systems Were Not Associated With Lower Operative Infection Rates After Total Ankle Arthroplasty: A Retrospective Cohort Study

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This study aimed to determine whether the use of surgical helmet systems (SHS) during total ankle arthroplasty (TAA) reduces postoperative infection rates compared to conventional gowning. The analysis of 938 patients revealed no significant differences in overall surgical site infections or deep prosthetic joint infections between the two groups, indicating that SHS do not provide a protective effect against infections. Consequently, the authors suggest that the decision to use SHS should be based on individual surgeon preference rather than evidence of infection prevention.

Joseph A S McCahon, Grant M Thomas, Anny Hsu, Rachel J Shakked, Joseph N Daniel, Selene G Parekh, David I Pedowitz

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