Abstract

A Systematic Review of the Evidence for Intramedullary Hindfoot Nailing in Elderly Patients with Unstable Ankle Fractures

Highlights

  • RationaleAnkle fractures are a common orthopaedic injury accounting for 9% of fractures [1]

  • The MeSH search retrieved 9 articles all of which were duplicates to those retrieved from the Keyword search

  • Review of the references and citations of these 4 articles identified no further articles for inclusion (Figure 1)

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Summary

Introduction

RationaleAnkle fractures are a common orthopaedic injury accounting for 9% of fractures [1]. As the average age of the population increases, fragility fractures are becoming more common Fragility fractures are those resulting from low level trauma, which would not usually be expected to cause a fracture [3]. They are often seen in elderly patients with multiple medical co-morbidities and impaired mobility and can be complicated by poor soft tissues surrounding the fracture. These injuries pose new challenges to surgeons. Both plaster immobilisation and traditional plate osteosynthesis both have numerous potential complications including wound breakdown, metalwork failure and non- or mal-union [4]

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