التفاصيل البيبلوغرافية
| العنوان: |
Tibiotalocalcaneal nail and primary closure for the management of open ankle fractures in the elderly patient; results from a major trauma centre. |
| المؤلفون: |
Cay, P.1 peter.cay1@nhs.net, Saad, A.1, Bellringer, S.1, Robertson, A.1, Guryel, E.1 |
| المصدر: |
Foot & Ankle Surgery. Feb2024, Vol. 30 Issue 2, p123-128. 6p. |
| مصطلحات موضوعية: |
*ANKLE fractures, *OLDER patients, *NAIL diseases, *WOUND care, *AMPUTATION |
| مستخلص: |
Open ankle fractures in elderly patients are challenging injuries to manage. The aim of this study was to assess the outcome of elderly patients with open ankle fractures treated with a tibiotalocalcaneal nail and primary wound closure. We identified all open ankle fractures in patients over 65 referred to our major trauma centre managed with a tibiotalocalcaneal nail and primary wound closure over 10 years. We recorded patient demographics, comorbidities, injury mechanism, length of stay, operation, weightbearing status, re-operations, infections and mortality. We included 34 patients with an average age of 87 (73−99). We found 56 % of patients' mobility status declined post-operatively and 21 % of patients were discharged directly home. Four patients required further unplanned surgery including two deep infections requiring amputation. We had a 6 % three month mortality rate. Use of a tibiotalocalcaneal nail with primary wound closure offers a reasonable treatment option for open fractures of the ankle in the elderly patient. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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