To compare the rate of wound complications with the PICO dressing versus a standard nonstick gauze dressing in patients undergoing anterior total ankle arthroplasty.

Participating subjects will be randomized to one of the study groups: Group 1 (Control group) or Group 2 (Treatment group). If randomized to Group 1- after surgery, the doctor will apply the standard non-stick gauze dressing to the wound. If randomized to Group 2- after surgery, the doctor will apply the PICO dressing to the wound.

The goal of the study is to measure the rate of wound complications based on wound assessment, patient-reported outcomes surveys, as well as peri- and post-operative data.

Inclusion Criteria:

• Patient ≥18 years old
• Subjects undergoing total ankle arthroplasty or uncomplicated revision total ankle arthroplasty
• Subjects able to provide informed consent
• Subjects who are able to understand and comply with study visit schedule and procedures

Exclusion Criteria:

• History of previous deep infection or history of wound complication necessitating plastic surgery intervention
• Allergy to products used in the study
• Pregnant and breastfeeding women due to anesthesia risks
• Subjects with a known history of poor compliance with medical treatment
• Subjects who decline participation in this research study
• Prisoners