UNASSIGNED: An 83-year-old Caucasian female with idiopathic mild mental retardation and Alzheimer\'s presented with a minimally displaced trimalleolar ankle fracture and was treated at a single urban hospital with a retrograde TTC nail secondary to her inability to adhere to weight-bearing restrictions post-operatively. Pertinent demographic, clinical, radiographic, and surgical data were collected. The patient had minimal post-operative pain, was able to bear weight on the day of surgery, and had no post-operative complications.
UNASSIGNED: This case report demonstrates that the use of a TTC nail is a safe and effective mode of fixation for ankle fractures in patient populations who may not adhere to weight-bearing restrictions post-operatively. The main benefits of fixation with a TTC nail are the ability to weight bear as tolerated post-operatively and decreased wound complications while having similar functional outcomes to open reduction and internal fixation. We suggest the use of TTC nails for ankle fractures in select patients who may not adhere to weight-bearing restrictions post-operatively.
■一名83岁的白人女性,患有特发性轻度智力低下和阿尔茨海默氏症,表现为最小移位的三踝骨折,在一家城市医院接受了逆行TTC钉治疗,继发于术后无法坚持负重限制。相关的人口统计,临床,射线照相,并收集手术数据。病人术后疼痛轻微,手术当天能够承受体重,无术后并发症。
■本病例报告表明,对于术后可能不遵守负重限制的患者人群,使用TTC钉是一种安全有效的踝关节骨折固定方式。使用TTC钉固定的主要好处是能够承受手术后的重量,并减少了伤口并发症,同时具有与切开复位和内固定相似的功能结果。我们建议在术后可能不遵守负重限制的部分患者中使用TTC钉治疗踝关节骨折。