Retrospective series shows promising early function after total ankle replacement in older adults with specific fractures, suggesting potential benefits.
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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Kim et al. (2026) studied this question.
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