Evidence map›Paper›PMID 38762622›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

The outcomes of the management of complex distal tibia and ankle fractures in elderly with tibiotalocalcaneal nail in a minimum 12-month follow-up period.

Georgios Kotsarinis, Emanuele Santolini, Nikolaos Kanakaris, Peter V Giannoudis

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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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Management of Geriatric Ankle Fractures.Current osteoporosis reports · 2025
    Review
  4. Review
  5. Review
  6. Article
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

4 authors.

Georgios KotsarinisAcademic Department of Trauma and Orthopaedic Surgery, School of Medicine, Clarendon Wing, Leeds General Infirmary, University of Leeds, Floor D, Great George Street, Leeds, LS1 3EX, UK.ORCID http://orcid.org/0000-0001-6508-0134
Emanuele SantoliniOrthopaedics and Trauma Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Nikolaos KanakarisAcademic Department of Trauma and Orthopaedic Surgery, School of Medicine, Clarendon Wing, Leeds General Infirmary, University of Leeds, Floor D, Great George Street, Leeds, LS1 3EX, UK.
Peter V GiannoudisAcademic Department of Trauma and Orthopaedic Surgery, School of Medicine, Clarendon Wing, Leeds General Infirmary, University of Leeds, Floor D, Great George Street, Leeds, LS1 3EX, UK. pgiannoudi@aol.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the clinical outcomes of the use of tibiotalocalcaneal nail for the treatment of complex distal tibia and ankle fractures in elderly people, in a major trauma centre.

methodsElderly patients (age > 65) with distal tibia or ankle fractures that underwent stabilization with a tibiotalocalcaneal nail were eligible to participate. Exclusion criteria were patients that died or were lost to follow-up and cases in which the nail was used in a chronic setting, such as malunion and non-union. Main parameters evaluated were fracture union, complications and functional outcomes. The functional outcome was assessed using the Olerud-Molander Ankle Score (OMAS). The minimum follow-up was 12 months.

resultsThirty-two consecutive patients (12 males) with a mean age of 80.2 years (range 66-98) met the inclusion criteria and formed the basis of this study. Fracture union was achieved in 93.8% of the cases at a mean time of 3.9 months (range 2-8). Two patients developed surgical site infections and underwent reoperation before union. The overall complication rate was 25.1%, while the respective reintervention rate was 18.8%. In terms of functional outcomes, the mean OMAS score was 45, ranging from 20 to 70.

conclusionTibiotalocalcaneal nailing can be considered as an acceptable less invasive option with good functional outcomes for the treatment of complex distal tibia and ankle fractures in frail patients with problematic local soft tissues.

Indexed as

Ankle FracturesBone NailsFracture Fixation, IntramedullaryTibial FracturesAgedAged, 80 and overFemaleFollow-Up StudiesFracture HealingHumansMalePostoperative ComplicationsReoperationTreatment OutcomeComplex ankle fracturesComplex distal tibia fracturesHindfoot nailPilon fracturesTibiotalocalcaneal nail

Identifiers

PMID38762622
PMCPMC11291519

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