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Treatment of fragility ankle fractures using hindfoot nail, systemic review.使用后足钉治疗脆性踝关节骨折，系统评价
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Fixation of unstable ankle fractures using a long hindfoot nail.使用长后足钉固定不稳定型踝关节骨折。
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The outcomes of the management of complex distal tibia and ankle fractures in elderly with tibiotalocalcaneal nail in a minimum 12-month follow-up period.在至少 12 个月的随访期内，使用跟距骨钉治疗老年复杂胫骨远端和踝关节骨折的治疗结果。
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本文引用的文献

1
Fixation of unstable ankle fractures using a long hindfoot nail.使用长后足钉固定不稳定型踝关节骨折。
Injury. 2018 Nov;49(11):2083-2086. doi: 10.1016/j.injury.2018.07.028. Epub 2018 Aug 16.
2
The role of intramedullary fixation in ankle fractures - A systematic review.髓内固定在踝关节骨折中的作用——一项系统综述。
Foot Ankle Surg. 2018 Feb;24(1):1-10. doi: 10.1016/j.fas.2016.04.004. Epub 2016 Apr 23.
3
Complications of Talar Neck Fractures by Hawkins Classification: A Systematic Review.基于霍金斯分类法的距骨颈骨折并发症：一项系统评价
J Foot Ankle Surg. 2017 Jul-Aug;56(4):817-821. doi: 10.1053/j.jfas.2017.04.013.
4
Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly.老年骨质疏松性和神经性踝关节骨折的管理
Curr Geriatr Rep. 2017;6(1):9-14. doi: 10.1007/s13670-017-0196-y. Epub 2017 Feb 3.
5
Fragility fractures of the ankle in the elderly: Open reduction and internal fixation versus tibio-talo-calcaneal nailing: Short-term results of a prospective randomized-controlled study.老年踝关节脆性骨折：切开复位内固定与胫距跟骨钉固定的比较：一项前瞻性随机对照研究的短期结果
Injury. 2017 Feb;48(2):519-524. doi: 10.1016/j.injury.2016.11.017. Epub 2016 Nov 17.
6
Primary Retrograde Tibiotalocalcaneal Nailing For Fragility Ankle Fractures.原发性逆行胫距跟髓内钉治疗脆性踝关节骨折
Iowa Orthop J. 2016;36:75-8.
7
A Guide to Improving the Care of Patients with Fragility Fractures, Edition 2.《脆性骨折患者护理改善指南》第二版
Geriatr Orthop Surg Rehabil. 2015 Jun;6(2):58-120. doi: 10.1177/2151458515572697.
8
Fragility fractures of the ankle in the frail elderly patient: treatment with a long calcaneotalotibial nail.体弱老年患者踝关节脆性骨折：采用长跟骨-距骨-胫骨钉治疗
Bone Joint J. 2014 Jun;96-B(6):817-22. doi: 10.1302/0301-620X.96B6.32721.
9
Ankle Injury Management (AIM): design of a pragmatic multi-centre equivalence randomised controlled trial comparing Close Contact Casting (CCC) to Open surgical Reduction and Internal Fixation (ORIF) in the treatment of unstable ankle fractures in patients over 60 years.踝关节损伤管理（AIM）：一项实用的多中心等效随机对照试验的设计，比较了紧密接触固定（CCC）与开放式手术复位内固定（ORIF）治疗 60 岁以上不稳定踝关节骨折患者的疗效。
BMC Musculoskelet Disord. 2014 Mar 12;15:79. doi: 10.1186/1471-2474-15-79.
10
Early complications of surgery in operative treatment of ankle fractures in those over 60: a review of 186 cases.60岁以上患者踝关节骨折手术治疗的早期并发症：186例回顾
Injury. 2014 Apr;45(4):780-3. doi: 10.1016/j.injury.2013.11.008. Epub 2013 Nov 23.

使用后足钉治疗脆性踝关节骨折，系统评价

Treatment of fragility ankle fractures using hindfoot nail, systemic review.

作者信息

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

机构信息

ST4 Spine Department, Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, B31 2AP, UK.

Salford Royal NHS Foundation Trust, Manchester, M6 8HD, UK.

出版信息

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

DOI:10.1016/j.jor.2020.11.006
PMID:33208992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7653193/
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.

摘要

随着人口老龄化，脆性踝关节骨折的患病率正在上升。这些损伤的手术治疗具有挑战性，且并发症发生率很高。我们进行了广泛的文献综述（数据起始时间至2019年9月），以查找之前涉及同一主题的研究。七项研究符合纳入标准。术后Olerud和Molander评分与受伤前评分相当/略低。90.3%-100%的病例实现了骨愈合。后足钉用于治疗脆性踝关节骨折时，可促进老年骨质疏松患者的早期康复和功能恢复。