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. |
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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. |
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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 |
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