Treatment of fragility ankle fractures using hindfoot nail, systemic review

Mohammed Elmajee; Abdullah Gabr; Ahmed Aljawadi; Matthew Strang; Shoaib Khan; Sivashankaren Munuswamy; Anand Pillai; Dominic Sprott

doi:10.1016/j.jor.2020.11.006

Treatment of fragility ankle fractures using hindfoot nail, systemic review

J Orthop. 2020 Nov 4:22:559-564. doi: 10.1016/j.jor.2020.11.006. eCollection 2020 Nov-Dec.

Authors

Mohammed Elmajee¹, Abdullah Gabr², Ahmed Aljawadi³, Matthew Strang⁴, Shoaib Khan⁵, Sivashankaren Munuswamy⁶, Anand Pillai³, Dominic Sprott²

Affiliations

¹ ST4 Spine Department, Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, B31 2AP, UK.
² Salford Royal NHS Foundation Trust, Manchester, M6 8HD, UK.
³ Trauma and Orthopaedics, Wythenshawe Hospital, Manchester, M23 9LT, UK.
⁴ Trauma and Orthopaedics, North Manchester General Hospital, Manchester, M8 5RB, UK.
⁵ ST4 Trauma and Orthopaedics, Warrington Hospital, Warrington, WA5 1QG, UK.
⁶ Sandwell Hospital, West Bromwich, B71 4HJ, UK.

Abstract

With an aging population, the prevalence of fragility ankle fractures is rising. The surgical management of these injuries is challenging and associated with high rates of complications. An extensive literature review (inception of data until September 2019) was undertaken to locate previous studies that have addressed the same topic. Seven studies met the inclusion criteria. The post-operative Olerud and Molander scores were comparable/slightly lower than pre-injury scores. Bony union was achieved in 90.3%-100% of cases. Hindfoot nails, when used to treat fragility ankle fractures, can facilitate early rehabilitation and restoration of function among elderly osteoporotic patients.

Keywords: Ankle; Complication; Elderly; Fragility; Management; Surgery.

Publication types

Review