دورية أكاديمية
Retrograde tibiotalocalcaneal nailing for the treatment of acute ankle fractures in the elderly: a systematic review and meta-analysis.
| العنوان: | Retrograde tibiotalocalcaneal nailing for the treatment of acute ankle fractures in the elderly: a systematic review and meta-analysis. |
|---|---|
| المؤلفون: | Lu V; School of Clinical Medicine, University of Cambridge, Cambridge, UK., Tennyson M; Department of Trauma and Orthopaedics, Addenbrooke's Hospital, Cambridge, UK., Zhou A; School of Clinical Medicine, University of Cambridge, Cambridge, UK., Patel R; Department of Trauma and Orthopaedics, Shrewsbury and Telford Hospital NHS Trust, UK., Fortune MD; Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK., Thahir A; Department of Trauma and Orthopaedics, Addenbrooke's Hospital, Cambridge, UK., Krkovic M; Department of Trauma and Orthopaedics, Addenbrooke's Hospital, Cambridge, UK. |
| المصدر: | EFORT open reviews [EFORT Open Rev] 2022 Sep 19; Vol. 7 (9), pp. 628-643. Date of Electronic Publication: 2022 Sep 19. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Bioscientifica Ltd Country of Publication: England NLM ID: 101695674 Publication Model: Electronic Cited Medium: Print ISSN: 2058-5241 (Print) Linking ISSN: 20585241 NLM ISO Abbreviation: EFORT Open Rev Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: [2022]- : [Bristol] : Bioscientifica Ltd Original Publication: London : British Editorial Society of Bone & Joint Surgery, [2016]- |
| مستخلص: | Introduction: Fragility ankle fractures are traditionally managed conservatively or with open reduction internal fixation. Tibiotalocalcaneal (TTC) nailing is an alternative option for the geriatric patient. This meta-analysis provides the most detailed analysis of TTC nailing for fragility ankle fractures. Methods: A systematic search was performed on MEDLINE, EMBASE, Cochrane Library, and Web of Science, identifying 14 studies for inclusion. Studies including patients with a fragility ankle fracture, defined according to NICE guidelines as a low-energy fracture obtained following a fall from standing height or less, that were treated with TTC nail were included. Patients with a previous fracture of the ipsilateral limb, fibular nails, and pathological fractures were excluded. This review was registered in PROSPERO (ID: CRD42021258893). Results: A total of 312 ankle fractures were included. The mean age was 77.3 years old. In this study, 26.9% were male, and 41.9% were diabetics. The pooled proportion of superficial infection was 10% (95% CI: 0.06-0.16), deep infection 8% (95% CI: 0.06-0.11), implant failure 11% (95% CI: 0.07-0.15), malunion 11% (95% CI: 0.06-0.18), and all-cause mortality 27% (95% CI: 0.20-0.34). The pooled mean post-operative Olerud-Molander ankle score was 54.07 (95% CI: 48.98-59.16). Egger's test (P = 0.56) showed no significant publication bias. Conclusion: TTC nailing is an adequate alternative option for fragility ankle fractures. However, current evidence includes mainly case series with inconsistent post-operative rehabilitation protocols. Prospective randomised control trials with long follow-up times and large cohort sizes are needed to guide the use of TTC nailing for ankle fractures. |
| References: | J Bone Joint Surg Am. 1998 Feb;80(2):268-82. (PMID: 9486734) Bone Joint J. 2014 Jun;96-B(6):817-22. (PMID: 24891584) Foot Ankle Int. 2021 Jun;42(6):776-787. (PMID: 33517772) J Bone Joint Surg Am. 2001 Feb;83(2):219-28. (PMID: 11216683) J Bone Joint Surg Br. 2001 May;83(4):525-9. (PMID: 11380123) BMC Health Serv Res. 2014 Nov 21;14:579. (PMID: 25413154) Foot Ankle Surg. 2018 Aug;24(4):347-352. (PMID: 29409236) Clin Orthop Relat Res. 1999 Apr;(361):178-85. (PMID: 10212611) JAMA. 2016 Oct 11;316(14):1455-1463. (PMID: 27727383) Foot Ankle Int. 2019 Dec;40(12):1382-1387. (PMID: 31423816) Injury. 1987 Mar;18(2):128-32. (PMID: 3508162) Foot Ankle Int. 2008 Apr;29(4):400-6. (PMID: 18442455) Injury. 2017 Feb;48(2):519-524. (PMID: 27908492) J Bone Joint Surg Br. 2006 Feb;88(2):206-7. (PMID: 16434525) Geriatr Orthop Surg Rehabil. 2021 Jun 17;12:21514593211020705. (PMID: 34211800) Stat Med. 2002 Jun 15;21(11):1539-58. (PMID: 12111919) J Orthop Trauma. 1987;1(4):275-80. (PMID: 3146619) EFORT Open Rev. 2017 Mar 13;1(5):239-246. (PMID: 28461954) J Orthop Surg Res. 2020 Jun 5;15(1):207. (PMID: 32503581) Injury. 2020 May;51 Suppl 2:S57-S63. (PMID: 31679836) J Bone Joint Surg Br. 1983 May;65(3):329-32. (PMID: 6404905) BMJ Open. 2018 Dec 18;8(12):e027242. (PMID: 30567826) Orthop Traumatol Surg Res. 2018 Jun;104(4):507-510. (PMID: 29654935) Clin Orthop Relat Res. 1976 Oct;(120):164-71. (PMID: 975653) Ann Acad Med Singap. 1995 May;24(3):353-5. (PMID: 7574413) ANZ J Surg. 2003 Sep;73(9):712-6. (PMID: 12956787) BMJ. 2021 Mar 29;372:n71. (PMID: 33782057) Iowa Orthop J. 2016;36:75-8. (PMID: 27528840) BMC Med Res Methodol. 2014 Dec 19;14:135. (PMID: 25524443) Arch Orthop Trauma Surg. 2008 Apr;128(4):423-8. (PMID: 18270721) Bone Joint Res. 2012 Jun 01;1(6):118-24. (PMID: 23610681) Stat Med. 2016 Feb 20;35(4):485-95. (PMID: 26303773) BMJ. 2019 Aug 28;366:l4898. (PMID: 31462531) J Bone Joint Surg Br. 2005 Jun;87(6):809-13. (PMID: 15911664) J Neuroeng Rehabil. 2019 Jan 3;16(1):2. (PMID: 30606194) J Bio Tribocorros. 2021 Jun;7(2):. (PMID: 34150468) Indian J Orthop. 2009 Jul;43(3):264-70. (PMID: 19838349) Foot Ankle Int. 2011 Jun;32(6):599-602. (PMID: 21733422) Foot Ankle Int. 2007 Dec;28(12):1256-9. (PMID: 18173988) J Bone Joint Surg Am. 2012 Dec 5;94(23):2195-204. (PMID: 23224390) Injury. 1993 Feb;24(2):116-20. (PMID: 8505117) Foot Ankle Int. 2011 Oct;32(10):955-61. (PMID: 22224324) Foot Ankle Int. 2010 Feb;31(2):164-71. (PMID: 20132755) Injury. 2018 Nov;49(11):2083-2086. (PMID: 30185373) Eur J Orthop Surg Traumatol. 2021 Nov 24;:. (PMID: 34820741) Foot Ankle Surg. 2022 Jul;28(5):657-662. (PMID: 34420873) Organogenesis. 2012 Oct-Dec;8(4):114-24. (PMID: 23247591) Curr Rev Musculoskelet Med. 2018 Sep;11(3):439-444. (PMID: 30047003) Stat Med. 2003 Sep 15;22(17):2693-710. (PMID: 12939780) Injury. 2000 Jun;31(5):359-62. (PMID: 10775692) Biomaterials. 2013 Mar;34(9):2234-43. (PMID: 23294547) BMJ. 2005 Dec 10;331(7529):1374. (PMID: 16299013) PLoS One. 2015 Jul 29;10(7):e0134340. (PMID: 26222188) Injury. 2013 Jul;44(7):994-7. (PMID: 23237604) Foot Ankle Int. 2013 Jan;34(1):104-10. (PMID: 23386769) Res Synth Methods. 2017 Mar;8(1):5-18. (PMID: 28058794) Indian J Endocrinol Metab. 2012 Mar;16 Suppl 1:S27-36. (PMID: 22701840) Arch Orthop Trauma Surg (1978). 1984;103(3):190-4. (PMID: 6437370) J Orthop Trauma. 2007 Feb;21(2):124-8. (PMID: 17304068) Clin Orthop Relat Res. 2011 Feb;469(2):348-54. (PMID: 20700673) BMJ Open. 2019 Jan 21;9(1):e026360. (PMID: 30670529) |
| فهرسة مساهمة: | Keywords: ORIF; ankle fracture; fragility fracture; meta-analysis; tibiotalocalcaneal nailing |
| تواريخ الأحداث: | Date Created: 20220920 Latest Revision: 20221104 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9624482 |
| DOI: | 10.1530/EOR-22-0017 |
| PMID: | 36125009 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2058-5241 |
|---|---|
| DOI: | 10.1530/EOR-22-0017 |