CME OnDemand: 2022 AOFAS Annual Meeting-Hindfoot Nail or Protibial Screw Fixation for Ankle Fracture: A Multi-centre Study

Hindfoot Nail or Protibial Screw Fixation for Ankle Fracture: A Multi-centre Study

Video Transcription

Video Summary

In this video, the speaker discusses the outcomes of a multi-centre assessment of hind foot nail or fibula protubule screw fixation in complex ankle fractures. The study evaluated patients with AO44A, B, or C ankle fractures treated with either a hind foot nail or protubule screws. The results showed that hind foot nail fixation was more common in older comorbid patients and resulted in a higher rate of superficial infections, venous thromboembolism (VTE), and post-operative mortality. Diabetes increased the risk of deep infection and wound breakdown. The study suggests carefully considering alternative fixation methods for closed ankle fractures. Further research is needed to establish best practices in complex ankle fractures.

Asset Subtitle

Jordan L. Bethel, MBBS, Ali-Asgar Najefi, FRCS, Monica Davies, Eleanor Gosney, Keval Patel, Christopher To, Enis Guryel, FRCS, Josephine McEwan, Stephanie Buchan, Joseph Northway, Amir Quereshi, and Raju Ahluwalia, FRCS (Ortho)

Keywords

hind foot nail

complex ankle fractures

superficial infections

venous thromboembolism

alternative fixation methods