Salvage of osteoporotic ankle fractures after failed primary fixation with an ankle arthrodesis nail: A report on four cases

Houshian, Shirzad; Bajaj, Sharad; Mohammed, Abdul Moqeeth

doi:10.1016/j.injury.2005.08.011

Cited by 14 publications

(4 citation statements)

References 23 publications

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“…Despite being higher than other cohorts [21], a fair comparison may not be possible, due to the lack of definitive guidelines for when TTC nailing should be used first-line, with surgeons themselves deciding if patients fit the criteria to receive TTC nailing. Nevertheless, this salvage technique has shown promising results in previous reports, with radiological union occurring three months following surgery [33].…”

Section: Patient Demographics and Surgical Managementmentioning

confidence: 94%

Ankle fusion with tibiotalocalcaneal retrograde nail for fragility ankle fractures: outcomes at a major trauma centre

Tennyson

Zhang

et al. 2021

Eur J Orthop Surg Traumatol

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Purpose Fragility ankles fractures in the geriatric population are challenging to manage, due to fracture instability, soft tissue compromise, and patient co-morbidities. Traditional management options include open reduction internal fixation, or conservative treatment, both of which are fraught with high complication rates. We aimed to present functional outcomes of elderly patients with fragility ankle fractures treated with retrograde ankle fusion nails. Methods A retrospective observational study was performed on patients who underwent intramedullary nailing with a tibiotalocalcaneal nail. Twenty patients met the inclusion criteria of being over sixty and having multiple co-morbidities. Patient demographics, AO/OTA fracture classification, intra-operative and post-operative complications, time to mobilisation and union, AOFAS and Olerud-Molander scores, and patient mobility were recorded. Results There were seven males and thirteen females, with a mean age of 77.82 years old, five of whom are type 2 diabetics. Thirteen patients returned to their pre-operative mobility state, and the average Charlson Co-morbidity Index (CCI) was 5.05. Patients with a low CCI are more likely to return to pre-operative mobility status (p = 0.16; OR = 4.00). All patients achieved radiographical union, taking on average between 92.5 days and 144.6 days. The mean post-operative AOFAS and Olerud-Molander scores were 53.0 and 50.9, respectively. There were four cases of superficial infection, four cases of broken or loose distal locking screws. There were no deep infections, periprosthetic fractures, nail breakages, or non-unions. Conclusion Tibiotalocalcaneal nailing is an effective and safe option for managing unstable ankle fractures in the elderly. This technique leads to lower complication rates and earlier mobilisation than traditional fixation methods.

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Section: Patient Demographics and Surgical Managementmentioning

confidence: 94%

Ankle fusion with tibiotalocalcaneal retrograde nail for fragility ankle fractures: outcomes at a major trauma centre

Tennyson

Zhang

et al. 2021

Eur J Orthop Surg Traumatol

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“…Ankle fractures with poor soft tissue envelopes and hence at high‐risk for complication are suitable for tibiotalocalcaneal (hindfoot) fusion nails as primary management [81], as are complex tibial plafond injuries [82]. Arthrodesis is also an excellent salvage operation for failed osteosynthesis [83] and should be considered in low‐demand individuals.…”

Section: Surgical Treatment By Anatomical Locationmentioning

confidence: 99%

The Global Burden of Surgical Management of Osteoporotic Fractures

Tarrant

Balogh

2020

World j. surg.

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Osteoporosis is an epidemic in the developed world. Fracture is a major burden associated with osteoporosis. Surgical management is recommended for particular anatomical areas, whilst other fracture patterns have a less defined and controversial role for surgery. This review aims to highlight increase in the global burden of osteoporosis and subsequent fragility fractures. As health and life expectancy improves, osteoporotic fracture fixation will constitute a significant physical and economic burden. The surgical management of osteoporotic fractures involves awareness on all levels from government to the individual, from primary prevention of fracture to surgical aftercare in the community.Seth M. Tarrant and Zsolt J. Balogh contributed equally to this work.

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“…Original Article complications, and a high patient satisfaction rate [3,4,6,19,20]. Nevertheless, primary arthrodesis after ankle fracture was regarded as a salvage procedure for postoperative complications such as secondary dislocations and posttraumatic arthrosis [13]. However until now, surgeons have been limited to only medial to lateral and posterior to anterior locking options.…”

Section: Abstract Ankle Fracture • Osteoporosis • Arthrodesis • Injumentioning

confidence: 99%

Stabilization of Ankle Fragility Fractures with a Transtibiocalcaneal Fusion Nail

Lögters¹,

Hakimi²,

Thelen³

et al. 2008

Osteosynthesis and Trauma Care

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Salvage of osteoporotic ankle fractures after failed primary fixation with an ankle arthrodesis nail: A report on four cases

Cited by 14 publications

References 23 publications

Ankle fusion with tibiotalocalcaneal retrograde nail for fragility ankle fractures: outcomes at a major trauma centre

Ankle fusion with tibiotalocalcaneal retrograde nail for fragility ankle fractures: outcomes at a major trauma centre

The Global Burden of Surgical Management of Osteoporotic Fractures

Stabilization of Ankle Fragility Fractures with a Transtibiocalcaneal Fusion Nail

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