Fragility fractures of the ankle in the elderly: Open reduction and internal fixation versus tibio-talo-calcaneal nailing: Short-term results of a prospective randomized-controlled study

Acute retrograde tibiotalocalcaneal nailing in osteoporotic periarticular ankle fractures

“…TTC nailing has been used as a salvage procedure after failed osteosynthesis or failure of conservative treatment (7,14,15) . However, over the past 10 years, interest has grown in the use of TTC nailing as a treatment option for unstable fractures in selected patients.…”

“…Since 2005, 10 studies have been published on the treatment of these fractures with retrograde TTC nailing (Table 4). Most of these studies reported satisfactory functional results and low complication rates (9)(10)(11)(12)(13)(14)(15)(16)(17)(18) . In 2005, Lemon et al (9) published the first article on this technique: a case series of 12 patients (mean age, 84 years; follow-up, 67 weeks), achieving good functional results and early full weight bearing in all patients.…”

“…The authors did not clearly define the inclusion criteria, but they highlighted obesity and diabetes as risk factors. In 2017, Georgiannos et al (15) published the only prospective randomized controlled study of ORIF vs TTC nailing. The inclusion criteria for both treatments were age > 70 years, closed bimalleolar or trimalleolar fractures, and ankle fracture-dislocations; 37 patients (mean age, 78 years) were recruited.…”

“…Tibiotalocalcaneal (TTC) nailing has been a valid treatment option for osteoporotic ankle fractures in the acute phase. Several studies have been published since 2005 with satisfactory functional results in selected patients, with a low rate of complications (9)(10)(11)(12)(13)(14)(15)(16)(17)(18) .…”

Salvaging a Severely Burned Ankle Using Arthrodesis and Anterolateral Thigh Free Flap

“…TTC intramedullary nailing is used as a successful salvage procedure in the presence of a severe injury or deformity of the ankle joint and hindfoot [4,5]. According to Al-Nammari et al [1] and Jonas et al [2], older patients can reach their preoperative functional level by 6 months after TTC intramedullary nailing, as they have a relatively lower functional demand [6][7][8][9]. Our patient started weight-bearing ambulation 1 month following ankle arthrodesis and reached his preoperative functional level without complications by 1-year follow-up.…”