{"id":7159,"date":"2022-11-23T11:20:59","date_gmt":"2022-11-23T11:20:59","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=7159"},"modified":"2022-11-24T09:25:20","modified_gmt":"2022-11-24T09:25:20","slug":"retrograde-tibiotalocalcaneal-nailing-for-the-treatment-of-acute-ankle-fractures-in-the-elderly-a-systematic-review-and-meta-analysis-2022","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2022\/11\/23\/retrograde-tibiotalocalcaneal-nailing-for-the-treatment-of-acute-ankle-fractures-in-the-elderly-a-systematic-review-and-meta-analysis-2022\/","title":{"rendered":"Retrograde tibiotalocalcaneal nailing for the treatment of acute ankle fractures in the elderly: a systematic review and meta-analysis (2022)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br aria-hidden=\"true\" \/>Systematic Review<\/p>\n<p><strong>Author(s):<\/strong><br aria-hidden=\"true\" \/>Lu V.; Tennyson M.; Zhou A.; *Patel R.; Fortune M.D.; Thahir A.; Krkovic M.<\/p>\n<p><strong>Citation:<\/strong><br aria-hidden=\"true\" \/>EFORT Open Reviews. 7(9) (pp 628-643), 2022. Date of Publication: 2022.<\/p>\n<p><strong>Abstract:<\/strong><br aria-hidden=\"true\" \/>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(s): 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.<\/p>\n<p><a title=\"Original URL: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9624482\/pdf\/EOR-22-0017.pdf. Click or tap if you trust this link.\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9624482\/pdf\/EOR-22-0017.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"Verified\" data-linkindex=\"0\">Link to full-text<\/a> [open access - no password required]<\/p>\n<p><strong>Altmetrics:<\/strong><\/p>\n<div class=\"altmetric-embed\" data-badge-details=\"right\" data-badge-type=\"medium-donut\" data-pmid=\"36125009\" data-hide-no-mentions=\"true\"><\/div>\n<p><script type='text\/javascript' src='https:\/\/d1bxh8uas1mnw7.cloudfront.net\/assets\/embed.js'><\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication:Systematic Review Author(s):Lu V.; Tennyson M.; Zhou A.; *Patel R.; Fortune M.D.; Thahir A.; Krkovic M. Citation:EFORT Open Reviews. 7(9) (pp 628-643), 2022. Date of Publication: 2022. Abstract:Introduction: Fragility ankle fractures are traditionally managed conservatively or with open<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2022\/11\/23\/retrograde-tibiotalocalcaneal-nailing-for-the-treatment-of-acute-ankle-fractures-in-the-elderly-a-systematic-review-and-meta-analysis-2022\/\">Read more <span class=\"screen-reader-text\">Retrograde tibiotalocalcaneal nailing for the treatment of acute ankle fractures in the elderly: a systematic review and meta-analysis (2022)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[1001,200],"tags":[1017,1002,994],"class_list":["post-7159","post","type-post","status-publish","format-standard","hentry","category-open-access","category-staff-publication","tag-1017","tag-gold-open-access","tag-trauma-and-orthopaedics"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7159","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=7159"}],"version-history":[{"count":2,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7159\/revisions"}],"predecessor-version":[{"id":7164,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7159\/revisions\/7164"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=7159"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=7159"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=7159"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}