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Review Question - QID 212922

Total Ankle Arthroplasty Complications Osteolysis QID: 212922 (OBQ18.26)
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QID 212922 (Type "212922" in App Search)
A 56-year-old patient presents with 3 months of right ankle pain. The patient underwent a total ankle arthroplasty 6 years ago and has remained relatively painless since the procedure. The patient denies any fevers or chills. Serum ESR and CRP are 19 mm/hr and 1.1 mg/L, respectively. Complete blood count revealed a white blood cell count of 9K cells/mL. Physical examination of the surgical wound reveals a well-healed incision and no evidence of drainage or sinus tracts. Synovial fluid analysis from the ankle consisted of 900 nucleated cells/mL, 44% neutrophils, negative gram stain, and no growth on cultures. Figures A and B are AP and lateral radiographs of the right ankle. What is the most appropriate next step?
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