advertising
-
1.
Centers for Disease Control and Prevention: Life expectancy. Available at: https://www.cdc.gov/nchs/fastats/life-expectancy.htm. November 29, 2016. Accessed March 31, 2017.
-
2.
Russo CA, Elixhauser A: Statistical Brief #6: Hospitalizations in the Elderly Population, 2003. Rockville, MD: Agency for Healthcare Research and Quality; 2006. Available at: http://www.hcup-us.ahrq.gov/reports/statbriefs/sb6.pdf. November 9, 2014. Accessed March 31, 2017.
-
3.
Centers for Disease and Control Prevention: Home and Recreational Safety: Older Adult Falls: Get the Facts, Centers for Disease and Control Prevention, Atlanta, 2014.
-
4.
Lynde MJ, Sautter T, Hamilton GA, et al: Complications after open reduction and internal fixation of ankle fractures in the elderly. Foot Ankle Surg 18: 103, 2012.
-
5.
Jonas SC, Young AF, Curwen CH, et al: Functional outcome following tibio-talar-calcaneal nailing for unstable osteoporotic ankle fractures. Injury 44: 994, 2013.
-
6.
Tarkin IS, Fourman MS: Retrograde hindfoot nailing for acute trauma. Curr Rev Musculoskelet Med 11: 439, 2018.
-
7.
Al-Nammari SS, Dawson-Bowling S, Amin A, et al: Fragility fractures of the ankle in the frail elderly patient: treatment with a long calcaneotalotibial nail. Bone Joint J 96-B: 817, 2014.
-
8.
Lemon M, Somayaji HS, Khaleel A, et al: Fragility fractures of the ankle: stabilization with an expandable calcaneotalotibial nail. J Bone Joint Surg Br 87: 809, 2005.
-
9.
Aigner R, Salomia C, Lechler P, et al: Relationship of prolonged operative time and comorbidities with complications after geriatric ankle fractures. Foot Ankle Int 38: 41, 2017.
-
10.
Amirfeyz R, Bacon A, Ling J, et al: Fixation of ankle fragility fractures by tibiotalocalcaneal nail. Arch Orthop Trauma Surg 128: 423, 2008.
-
11.
Tarkin IS, Fourman MS: Retrograde hindfoot nailing for acute ankle trauma. Curr Rev Musculoskelet Med 11: 439, 2018.
-
12.
Georgiannos D, Lampridis V, Bisbinas I: Fragility fractures of the ankle in the elderly: open reduction and internal fixation versus tibiotalocalcaneal nailing: short-term results of a prospective randomized controlled study. Injury 48: 519, 2017.
-
13.
Taylor B, Hanse D, Harrison R, et al: Primary retrograde tibiotalocalcaneal nailing for fragility ankle fractures. Iowa Orthop J 36: 75, 2016.
Bilateral Distal Tibial Fractures with Preexisting Long-Stem Knee Prostheses Treated with Closed Retrograde Intramedullary Nails: A Case Report
Search for other papers by Ryan Lerch in
Current site
Google Scholar
PubMed
Search for other papers by Jeffrey Manway in
Current site
Google Scholar
PubMed
Recently there has been expanded interest in the management of fractures of the ankle in the elderly. This case presentation demonstrates an alternative treatment choice for bilateral distal tibial fractures in a comorbid patient. This is a novel case of interest because low-energy bilateral distal tibial fracture in the elderly and comorbid population is a relatively infrequent occurrence. Several case series have demonstrated the efficacy and safety of closed retrograde nailing of distal tibial fractures. The patient was an 80-year-old woman with a medical history that included hypertension, hyperlipidemia, type 2 diabetes, rheumatoid arthritis, chronic obstructive pulmonary disease, coronary artery disease status post stenting, heart failure with preserved ejection fracture, chronic kidney disease, and a history of a transient ischemic attack. The patient’s case was further complicated by the presence of preexisting long-stem bilateral knee prostheses. The patient had been living independently when she experienced a ground-level fall in which imaging showed bilateral distal tibial fractures. The decision to perform closed bilateral concomitant stabilization via retrograde intramedullary nails was based on the need for early ambulation, stability, and the presence of extensive preexisting tibial prostheses. Ultimately, the patient healed uneventfully, returning to a similar level of independence and ambulation as before her injury.
advertising
