PDF(Pubmed)
Abstract：
The use of tibiotalocalcaneal nails for unstable ankle fractures in low demand elderly patients has been introduced as an alternative to open reduction internal fixation to allow early weight-bearing and to decrease soft tissue complications and mechanical failures. This paper describes the technique of hindfoot nailing and reviews the current literature. Overall, it is a minimally invasive and expeditious procedure that provides stable fixation to withstand immediate ambulation of the frail elderly patient. Future high-quality randomized controlled trials will determine if complications and outcomes compare favorably to open reduction and internal fixation.
摘要：
在低需求的老年患者中，使用胫骨骨指甲治疗不稳定的踝关节骨折已被引入作为切开复位内固定的替代方法，以允许早期负重并减少软组织并发症和机械故障。本文介绍了后脚钉的技术，并回顾了当前的文献。总的来说,它是一种微创和快速的程序，提供稳定的固定，以承受体弱的老年患者的立即下床活动。未来的高质量随机对照试验将确定并发症和结果是否与切开复位和内固定相比有利。
