Ivan S Tarkin1, Mitchell S Fourman2. 1. Department of Orthopedic Surgery, University of Pittsburgh Medical Center, 3471 Fifth Avenue, 911 Kaufmann Building, Pittsburgh, PA, 15213, USA. tarkinis@upmc.edu. 2. Department of Orthopedic Surgery, University of Pittsburgh Medical Center, 3471 Fifth Avenue, 911 Kaufmann Building, Pittsburgh, PA, 15213, USA.
Abstract
PURPOSE OF REVIEW: The role of retrograde hindfoot nailing in the treatment of acute orthopedic trauma is explored. RECENT FINDINGS: Tibio-talar calcaneal (TTC) nailing is an acceptable treatment alternative for the low-demand geriatric patient with peri-articular ankle trauma permitting immediate weight-bearing with low rates of complication and return to functionality. Hindfoot nailing can be used for limb salvage in the younger active patient; yet, joint-preserving reconstruction is preferred when feasible. Retrograde TTC nailing is a reliable option for hindfoot/distal tibia stabilization especially in the elderly frail population. Hindfoot nailing is reserved for a select subset of active patients when severity of bone, joint, and soft tissue injury are not amenable to more conventional reconstruction.
PURPOSE OF REVIEW: The role of retrograde hindfoot nailing in the treatment of acute orthopedic trauma is explored. RECENT FINDINGS: Tibio-talar calcaneal (TTC) nailing is an acceptable treatment alternative for the low-demand geriatric patient with peri-articular ankle trauma permitting immediate weight-bearing with low rates of complication and return to functionality. Hindfoot nailing can be used for limb salvage in the younger active patient; yet, joint-preserving reconstruction is preferred when feasible. Retrograde TTC nailing is a reliable option for hindfoot/distal tibia stabilization especially in the elderly frail population. Hindfoot nailing is reserved for a select subset of active patients when severity of bone, joint, and soft tissue injury are not amenable to more conventional reconstruction.
Authors: Cesar de Cesar Netto; David Johannesmeyer; Brent Cone; Ibukunoluwa Araoye; Parke William Hudson; Bahman Sahranavard; Michael Johnson; Ashish Shah Journal: Foot Ankle Int Date: 2017-07-21 Impact factor: 2.827
Authors: Richard Buckley; Ross Leighton; David Sanders; Jeffrey Poon; Chad P Coles; David Stephen; Elizabeth O Paolucci Journal: J Orthop Trauma Date: 2014-10 Impact factor: 2.512
Authors: Mitchell S Fourman; Joshua Adjei; Richard Wawrose; Gele Moloney; Peter A Siska; Ivan S Tarkin Journal: Injury Date: 2021-11-12 Impact factor: 2.586