Tibiotalocalcaneal nailing as a treatment for ankle fractures in the elderly population: A systematic review

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2024-12-31 DOI:10.1016/j.jor.2024.12.047

Christian Harter, Thomas Cho, Jiayong Liu

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引用次数: 0

Abstract

This study evaluated patient outcomes of tibiotalocalcaneal (TTC) nailing for ankle fractures in an elderly population. A systematic literature search of PubMed and Google Scholar identified 24 studies involving 657 patients aged over 65. Key outcome measures included union rates, healing time, functional scores, and complications. The average union rate for TTC nail patients was 88.36 % (±12 %), with a healing time of 17.8 weeks (±4.68). Post-operatively, 77.16 % (±17 %) of patients returned to or exceeded their baseline ambulatory function. Pre-injury Olerud-Molander Ankle Scores averaged 63.1 (±5.00), compared to 50.43 (±8.59) post-surgery. Infection rates were reported in 10.51 % (±0.07) of patients (60/571), with superficial and deep infection rates of 6.83 % (±8 %) and 3.68 % (±6 %), respectively. Nail failure occurred in 4.7 % (12/255) of cases, and the average revision rate was 13.36 % (±7 %). In conclusion, TTC nailing is a viable treatment for elderly patients with ankle fractures. It offers satisfactory functional outcomes and an acceptable complication risk. It is particularly beneficial for those unable to undergo multiple surgeries or with significant comorbidities, providing a quick and effective means to restore mobility.

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本研究评估了胫骨踝关节（TTC）钉治疗老年人踝关节骨折的疗效。通过对 PubMed 和 Google Scholar 进行系统性文献检索，发现了 24 项研究，涉及 657 名 65 岁以上的患者。主要结果指标包括结合率、愈合时间、功能评分和并发症。TTC钉患者的平均结合率为88.36%（±12%），愈合时间为17.8周（±4.68）。术后，77.16%（±17%）的患者恢复或超过了基线活动功能。受伤前的Olerud-Molander踝关节评分平均为63.1（±5.00）分，而术后为50.43（±8.59）分。据报告，10.51%（±0.07）的患者（60/571）发生了感染，表层和深层感染率分别为 6.83%（±8%）和 3.68%（±6%）。4.7%的病例（12/255）发生了钉子失败，平均翻修率为 13.36%（±7%）。总之，对于老年踝关节骨折患者来说，TTC钉是一种可行的治疗方法。它具有令人满意的功能效果和可接受的并发症风险。对于那些无法接受多次手术或有严重合并症的患者来说，它尤其有益，是一种快速有效的恢复活动能力的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.