ArticleCureus2025
Percutaneous Tibiotalocalcaneal Nailing in Fragility Ankle Fractures of the Elderly: A Single-Center Case Series.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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5 authors.
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Abstract
backgroundFragility ankle fractures in elderly patients are associated with high rates of wound complications, fixation failure, and prolonged loss of mobility. For individuals with significant osteopenia or compromised soft tissues, conventional open reduction and internal fixation may be unsuitable. Retrograde tibiotalocalcaneal (TTC) nailing provides a minimally invasive, load-sharing construct that facilitates early weight-bearing. This study reports outcomes from a retrospective single-center case series evaluating percutaneous TTC nailing in elderly patients with unstable fragility ankle fractures.
methodsA retrospective review was performed on all consecutive patients aged ≥65 years who underwent percutaneous TTC nailing at a UK trauma unit between February 2007 and February 2008. Demographic data, fracture classification, complications, radiographic union, Olerud-Molander Ankle Score (OMAS), mobility status, and mortality were recorded. Radiographic union was defined as bridging callus across ≥3 cortices.
resultsTwenty-three patients (mean age 89 years; 22 female) were included. Arbeitsgemeinschaft für Osteosynthesefragen
conclusionsThis study reports descriptive outcomes of a small retrospective case series and does not allow causal inference or comparison with alternative treatments. Within these limitations, percutaneous TTC nailing provided stable fixation with low observed wound-related complications in this frail, elderly cohort. The findings should be interpreted cautiously, and prospective comparative studies are required.
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