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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 6, 809-813.
doi: 10.1302/0301-620X.87B6.16146  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Fragility fractures of the ankle

STABILISATION WITH AN EXPANDABLE CALCANEOTALOTIBIAL NAIL

M. Lemon, MRCS, Specialist Registrar in Orthopaedics; H. S. Somayaji, MRCS, Senior House Officer; A. Khaleel, FRCS Orth, Consultant Orthopaedic Surgeon; and D. S. Elliott, FRCS, Consultant Orthopaedic Surgeon

Rowley Bristow Orthopaedic Centre, St. Peter’s Hospital, Chertsey, Surrey, UK.

Correspondence should be sent to Mr. M. Lemon at 1 Marneys Close, Epsom, Surrey KT18 7HR, UK; e-mail: michael_lemon{at}hotmail.com

Fragility fractures of the ankle occur mainly in elderly osteoporotic women. They are inherently unstable and difficult to manage. There is a high incidence of complications with both non-operative and operative treatment.

We treated 12 such fractures by closed reduction and stabilisation using a retrograde calcaneotalotibial expandable nail. The mean age of patients was 84 years (75 to 95). All were women and were able to walk fully weight-bearing after surgery. There were no wound complications. One patient died from a myocardial infarction 24 days after surgery. The 11 other patients were followed up for a mean of 67 weeks (39 to 104).

All the fractures maintained satisfactory alignment and healed without delay. Six patients refused removal of the nail after union of the fracture. The functional rating using the scale of Olerud and Molander gave a mean score at follow-up of 61, compared with a pre-injury value of 70.




eLetters:

Read all eLetters

Fragility fractures of the ankle
Amer Khan, et al.
J Bone Joint Surg Br Online, 12 Jul 2005 [Full text]
Reply to Khan and Kelly from the authors
Michael Lemon
J Bone Joint Surg Br Online, 18 Aug 2005 [Full text]

(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General