Evidence map›Paper›PMID 37742301›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Tibiotalar nailing using an antegrade intramedullary tibial nail: a salvage procedure for unstable distal tibia and ankle fractures in the frail elderly patient.

Yusuf Omran Hasan, Jonathan Bourget-Murray, Piers Page, Jowan G Penn-Barwell, Robert Handley

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Management of Geriatric Ankle Fractures.Current osteoporosis reports · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Yusuf Omran HasanOxford Trauma Unit, John Radcliffe Hospital, Oxford University Hospitals, Oxford, United Kingdom. dryusufomran@msn.com.ORCID http://orcid.org/0000-0003-0521-2494
Jonathan Bourget-MurrayOxford Trauma Unit, John Radcliffe Hospital, Oxford University Hospitals, Oxford, United Kingdom.
Piers PageOxford Trauma Unit, John Radcliffe Hospital, Oxford University Hospitals, Oxford, United Kingdom.
Jowan G Penn-BarwellOxford Trauma Unit, John Radcliffe Hospital, Oxford University Hospitals, Oxford, United Kingdom.
Robert HandleyOxford Trauma Unit, John Radcliffe Hospital, Oxford University Hospitals, Oxford, United Kingdom.
John Radcliffe Hospital · GBRoyal Inland Hospital · CASalmaniya Medical Complex · BH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis 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 AND

methodsWe 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.

resultsAt final follow-up, fourteen patients reported painless walking and had returned to baseline activity.

conclusionThis 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.

Indexed as

Ankle FracturesFracture Fixation, IntramedullaryFractures, ComminutedTibial FracturesAgedAged, 80 and overBone NailsFrail ElderlyHumansMiddle AgedRetrospective StudiesTibiaTreatment OutcomeDistal third tibia fractureElderly fractureFrail ankle fractureTibial nailTibiotalar nailing

Identifiers

PMID37742301
OpenAlexW4386998890

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.