Functional assessment of transplantar nailing for ankle fracture in the elderly: 48 weeks’ prospective follow-up of 14 patients

Persigant, Mike; Colin, Fabrice; Noailles, Thibaut; Piétu, G.

doi:10.1016/j.otsr.2018.03.008

Cited by 13 publications

(24 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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.…”

Section: Discussionmentioning

confidence: 99%

“…Overall, the results were good, especially the low rate of wound complications and early recovery. In the same year, Persigant et al (17) published the results of a series of 14 patients treated with a retrograde femoral nail and immediate weight bearing, with a mean follow-up of 12 months. O´Daly 2010 (11) RT The authors reported satisfactory functional results, fracture union, and only 1 major complication (deep infection requiring nail removal).…”

Section: Discussionmentioning

confidence: 99%

“…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) .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Acute retrograde tibiotalocalcaneal nailing in osteoporotic periarticular ankle fractures

et al. 2020

View full text Add to dashboard Cite

Objective: This study aimed to report the short-term results of retrograde tibiotalocalcaneal (TTC) nailing in a selected series of patients with fragility ankle fractures. Methods: This study included 17 patients who underwent primary retrograde TTC nailing from January 2016 to April 2019. The Olerud-Molander ankle score (OMAS) was recorded preoperatively and at the final follow-up. Results: Mean patient age was 81.5 years (range, 67-91 years), and mean follow-up duration was 20.9 months (range, 8-50 months). No patient was lost to follow-up. Eleven patients had diabetes. Thirteen patients were able to walk with an assistive device, and 4 with help from another person. Two patients died at 8 and 9 months after treatment. Radiographic healing was observed in 100% of the fractures. No deep infection or scarring problems were recorded. Two patients were wheelchair bound after treatment, whereas 15 recovered their previous autonomy. The mean OMAS score changed from 64.1 (range, 55-75) preoperatively to 55.3 (range, 45-65) postoperatively. Conclusion: Our results suggest that primary retrograde TTC nailing is a valid option in selected patients with fragility ankle fractures, multiple comorbidities, poor soft tissue condition, and difficulty in walking before the fracture. Level of Evidence IV; Therapeutic Studies, Case Series.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acute retrograde tibiotalocalcaneal nailing in osteoporotic periarticular ankle fractures

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Persigant et al 48 prospectively evaluated 14 patients (mean age 79.6 years) who were treated with retrograde trans-plantar intramedullary nailing (TIMN). Ten of 14 patients were followed up for 48 weeks.…”

Section: Fibula Nail There Are Only Two Publications [Tablementioning

confidence: 99%

Osteoporotic ankle fractures: A narrative review of management options

Dhillon

Rajnish

Patel

et al. 2020

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

The management of Osteoporotic ankle fractures is still considered to be a challenge by many surgeons. One of the issues seems to be a lack of data focused on this special subgroup, with very little evidence of good quality. We did a narrative review of the literature in an attempt to identify the magnitude of the problem and to evaluate the evidence in support of management options.The current review of the literature has brought to light some interesting facts. Despite limited data there seems to be an in increase in the incidence of these fractures. Although we could not demonstrate any clear distinction between geriatric and osteoporotic ankle fractures from the available literature; it is clear that all geriatric fractures are not necessarily osteoporotic and neither is the reverse true. The evidence to associate osteoporotic ankle fractures with poor outcomes is weak, and factors other than osteoporosis may have a stronger influence. From this analysis, we could not establish a higher incidence of implant failure for this specific fracture group, although many modifications in technique have been proposed due to the fear of fixation failure. Hook plating and Tibia-pro fibula fixation have weak evidence in support, but posterior fibular plating is preferred due to soft tissue protection. There is weak evidence in support of Locking plates for these fractures, as publications focused on this are limited; nevertheless some advantages have been documented. Augmentation by calcium based bone graft substitutes has been reported to improve pull out strengths of screws, but again the evidence of its role in Osteoportic fractures is limited. Fibular nailing has been proposed with specific advantages in osteoporotic fibular fractures, but the concept is new and it is indicated only in a select a subgroup of cases. Some evidence exists for the use of trans-articular nails in geriatric subgroups with limited pre-injury mobility, but the technique has to be used with caution to prevent other complications. Inference: More data needs to be accumulated before clear guidelines for management of osteoporotic ankle factures are defined; however the current literature supports the need for modifications in standard ankle facture fixation methods to improve outcomes.

show abstract

“…Acute tibiotalocalcaneal (TTC) nailing has been used to treat osteoporotic ankle fractures with good results since 2005 ( 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 ), especially in frail patients, and, although several risk factors have been described in the literature as predictors of adverse effects after ankle ORIF ( 12 ), no specific inclusion criteria have been identified to opt for this surgical treatment.…”

Section: Introductionmentioning

confidence: 99%

Tibiotalocalcaneal nailing for osteoporotic ankle fractures in the frail patient: a narrative review with a clinical score proposal for the decision-making process

et al. 2022

View full text Add to dashboard Cite

Osteoporotic ankle fractures result from mechanical forces that would not ordinarily result in fracture, known as ‘low-energy’ trauma, such as those equivalent to a fall from a standing height or less. Osteoporotic ankle fractures in frail patients are becoming more and more frequent in daily practice and represent a therapeutic challenge for orthopaedic surgeons. The main problems with frail patients are the poor condition of the soft tissues around the ankle, dependence for activities of daily living and high comorbidity. The decision to operate on these patients is complex because conservative treatment is poorly tolerated in unstable fractures and conventional open reduction and internal fixation is associated with a high rate of complications. The authors conducted a narrative review of the literature on primary tibiotalocalcaneal nailing of ankle fractures in frail patients and categorized the different factors to consider when treatment is indicated for this conditon. Difficulty of ambulation, age over 65 years old, deteriorated baseline state and instability of the fracture were the most frequently considered factors. Finally, the authors propose an easy and quick clinical scoring system to help in the decision-making process, although further comparative studies are required to explore its validity.

show abstract

Functional assessment of transplantar nailing for ankle fracture in the elderly: 48 weeks’ prospective follow-up of 14 patients

Abstract: IV.

Cited by 13 publications

References 29 publications

Acute retrograde tibiotalocalcaneal nailing in osteoporotic periarticular ankle fractures

Acute retrograde tibiotalocalcaneal nailing in osteoporotic periarticular ankle fractures

Osteoporotic ankle fractures: A narrative review of management options

Tibiotalocalcaneal nailing for osteoporotic ankle fractures in the frail patient: a narrative review with a clinical score proposal for the decision-making process

Contact Info

Product

Resources

About