What does this research mean for the field?

Primary total ankle replacement (TAR) is a feasible option for selected older adults with acute comminuted pilon fractures and preserved metaphyseal cortical shell, showing encouraging early functional outcomes. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

The study aims to evaluate the feasibility of primary total ankle replacement (TAR) for older adults with comminuted pilon fractures.

March 12, 2026

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Primary Total Ankle Replacement for Acute Comminuted Pilon Fractures in Older Adults: Proposed Indications and a Report of 29 Cases

JKJinseong KimSoonchunhyang University Hospital Seoul DCDong-Il ChunSoonchunhyang University Hospital Seoul JCJaeho ChoSacred Heart Hospital

Key Points

The study aims to evaluate the feasibility of primary total ankle replacement (TAR) for older adults with comminuted pilon fractures.
Conducted a retrospective level IV series
Included 29 older adult patients with comminuted pilon fractures
Focused on those with preserved metaphyseal cortical shell
Analyzed early functional outcomes with short-term follow-up
Primary TAR demonstrated encouraging early functional outcomes
Implant survivorship and revision risk require longer-term follow-up

Abstract

In this retrospective level IV series with short-term follow-up, primary TAR may be a feasible option for carefully selected older adult patients with comminuted pilon fractures and a preserved metaphyseal cortical shell, demonstrating encouraging early functional outcomes. Longer term follow-up is required to determine implant survivorship and revision risk.

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اسأل الذكاء الاصطناعي

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View Full Paper

Primary Total Ankle Replacement for Acute Comminuted Pilon Fractures in Older Adults: Proposed Indications and a Report of 29 Cases

Key Points

Abstract

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