Randomized Trialhigh evidence
Tibiotalocalcaneal Fusion Using Hindfoot Nailing Versus Open Reduction and Internal Fixation for Fragility Ankle Fractures in Older Adults: A Prospective Randomized Comparative Study.
Orthopaedics & traumatology, surgery & research : OTSR·November 3, 2026·PMID 42977155
Why it mattersFragility ankle fractures in older adults carry high risks of fixation failure and wound complications with conventional ORIF. This trial provides randomized evidence that TTC fusion with a hindfoot nail may offer a more reliable fixation strategy, enabling earlier mobilization and better functional recovery in this vulnerable population.
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