Tibiotalar nailing using an antegrade intramedullary tibial nail: a salvage procedure for unstable distal tibia and ankle fractures in the frail elderly patient.
Eur J Orthop Surg Traumatol
; 34(2): 847-852, 2024 Feb.
Article
em En
| MEDLINE
| ID: mdl-37742301
ABSTRACT
AIM:
This article describes the technique of tibiotalar nailing performed using an antegrade tibial nail for salvage of distal tibia and ankle fractures in elderly patients. MATERIALS ANDMETHODS:
We report indications, surgical technique, and the clinical outcomes and complication rate in our series to date. A retrospective review was performed at our level 1 major trauma centre. Patient demographics, comorbidities, and 12-month post-operative course were collected. Fractures were classified using the OTA/AO and modified Gustilo-Anderson classification. Fifteen patients underwent the procedure. We present data with a minimum 12-month follow-up. The median age of the patients in this cohort was 83 years (range, 51-102). Five patients were diabetic. Six patients (6/15; 40%) presented with an open fracture.RESULTS:
At final follow-up, fourteen patients reported painless walking and had returned to baseline activity.CONCLUSION:
This technique may serve as a salvage procedure, with indications similar to those for tibio-talar-calcaneal arthrodesis. Indications would include non-constructible pilon fractures, comminuted intra-articular fractures in low-demand patients, or patients at high risk of wound complications. LEVEL OF CLINICAL EVIDENCE 3.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Fraturas da Tíbia
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Fraturas Cominutivas
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Fraturas do Tornozelo
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Fixação Intramedular de Fraturas
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article