High-risk ankle fractures in high-risk older patients: to fix or nail?

Thomas M Large¹, Adam M Kaufman², Harold M Frisch², Kaitlyn R Bankieris³

¹Department of Orthopaedic Surgery, Emory University, Grady Memorial Hospital, 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303, USA. tmlarge@emory.edu.

²Orthopaedic Trauma Services, Mission Hospital, Asheville, NC, USA.

³Empiric Health (Olive), Asheville, NC, USA.

PubMed DOI

Abstract

INTRODUCTION: Optimal treatment of high-risk ankle fractures in older, comorbid patients is unknown. Results of open reduction internal fixation (ORIF) versus tibiotalocalcaneal (TTC) fusion nailing for the treatment of high-risk geriatric ankle fractures were investigated. MATERIALS AND METHODS: Results of ORIF versus TTC fusion nailing were evaluated via retrospective case-control cohort study…

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