CASE REPORT| Volume 37, ISSUE 8, P791-794, August 2006

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Salvage of osteoporotic ankle fractures after failed primary fixation with an ankle arthrodesis nail: A report on four cases

      Ankle fractures in elderly persons with severe osteopenia and/or pre-existing medical conditions such as diabetes and asthma/chronic obstructive pulmonary disease (COPD) pose difficult problems. Rigid fixation of these fractures in elderly patients is often technically difficult due to comminution at the site of the fracture and osteoporosis. It is also associated with a high risk of complications such as skin break-down, infection, failed fixation, and generally yields poor results.
      • Anand M.
      • Klenerman L.
      Ankle fractures in elderly: MUA versus ORIF.
      Management of failed primary fixation in such patients is a greater orthopaedic challenge. We report four cases of osteoporotic ankle fractures with failed primary fixation, which have been salvaged using an ankle arthrodesis nail. In all four cases, a good clinical result has been achieved with successful radiological fusion.
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