{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T11:38:14Z","timestamp":1793187494972,"version":"4.5.0"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"DOI":"10.1007\/s00590-026-04769-z","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T10:18:52Z","timestamp":1780309132000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Tibiotalocalcaneal nailing allows early weightbearing without increased early complication risk in unstable geriatric malleolar ankle fractures"],"prefix":"10.1007","volume":"36","author":[{"given":"Doha","family":"Hussien","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Verlinsky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"Wheeler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Ni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Hand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi","family":"Karia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Case","family":"Martin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"issue":"4","key":"4769_CR1","doi-asserted-by":"publisher","first-page":"712","DOI":"10.1053\/j.jfas.2019.12.012","volume":"60","author":"RWA Spek","year":"2021","unstructured":"Spek RWA, Smeeing DPJ, van den Heuvel L, Kokke MC, Bhashyam AR, Kelder JC, Verleisdonk EJMM, Houwert RM, van der Velde D (2021) Complications after surgical treatment of geriatric ankle fractures. J Foot Ankle Surg 60(4):712\u2013717. https:\/\/doi.org\/10.1053\/j.jfas.2019.12.012","journal-title":"J Foot Ankle Surg"},{"issue":"4","key":"4769_CR2","doi-asserted-by":"publisher","first-page":"780","DOI":"10.1016\/j.injury.2013.11.008","volume":"45","author":"A Zaghloul","year":"2014","unstructured":"Zaghloul A, Haddad B, Barksfield R, Davis B (2014) Early complications of surgery in operative treatment of ankle fractures in those over 60: a review of 186 cases. Injury 45(4):780\u2013783. https:\/\/doi.org\/10.1016\/j.injury.2013.11.008","journal-title":"Injury"},{"issue":"6","key":"4769_CR3","doi-asserted-by":"publisher","first-page":"648","DOI":"10.1177\/1071100715573707","volume":"36","author":"JT Bariteau","year":"2015","unstructured":"Bariteau JT, Hsu RY, Mor V, Lee Y, DiGiovanni CW, Hayda R (2015) Operative versus nonoperative treatment of geriatric ankle fractures: a medicare part A claims database analysis. Foot Ankle Int 36(6):648\u2013655. https:\/\/doi.org\/10.1177\/1071100715573707","journal-title":"Foot Ankle Int"},{"issue":"2","key":"4769_CR4","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1053\/j.jfas.2014.10.015","volume":"54","author":"WP Toole","year":"2015","unstructured":"Toole WP, Elliott M, Hankins D, Rosenbaum C, Harris A, Perkins C (2015) Are low-energy open ankle fractures in the elderly the new geriatric hip fracture? J Foot Ankle Surg 54(2):203\u2013206. https:\/\/doi.org\/10.1053\/j.jfas.2014.10.015","journal-title":"J Foot Ankle Surg"},{"issue":"1","key":"4769_CR5","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1177\/1938640016666919","volume":"10","author":"RJ Kadakia","year":"2017","unstructured":"Kadakia RJ, Ahearn BM, Tenenbaum S, Bariteau JT (2017) Costs associated with geriatric ankle fractures. Foot Ankle Spec 10(1):26\u201330. https:\/\/doi.org\/10.1177\/1938640016666919","journal-title":"Foot Ankle Spec"},{"issue":"Suppl 5","key":"4769_CR6","doi-asserted-by":"publisher","first-page":"S41","DOI":"10.1097\/BOT.0000000000002232","volume":"35","author":"A Srinath","year":"2021","unstructured":"Srinath A, Matuszewski PE, Kalbac T (2021) Geriatric ankle fracture: robust fixation versus hindfoot nail. J Orthop Trauma 35(Suppl 5):S41\u2013S44. https:\/\/doi.org\/10.1097\/BOT.0000000000002232","journal-title":"J Orthop Trauma"},{"issue":"2","key":"4769_CR7","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1016\/j.injury.2019.11.028","volume":"51","author":"A Lorente","year":"2020","unstructured":"Lorente A, Palacios P, Lorente R, Mariscal G, Barrios C, Gand\u00eda A (2020) Orthopedic treatment and early weight-bearing for bimalleolar ankle fractures in elderly patients: quality of life and complications. Injury 51(2):548\u2013553. https:\/\/doi.org\/10.1016\/j.injury.2019.11.028","journal-title":"Injury"},{"issue":"11","key":"4769_CR8","doi-asserted-by":"publisher","first-page":"936","DOI":"10.2106\/JBJS.17.01222","volume":"100","author":"C Kammerlander","year":"2018","unstructured":"Kammerlander C, Pfeufer D, Lisitano LA, Mehaffey S, B\u00f6cker W, Neuerburg C (2018) Inability of older adult patients with hip fracture to maintain postoperative weight-bearing restrictions. J Bone Joint Surg Am 100(11):936\u2013941. https:\/\/doi.org\/10.2106\/JBJS.17.01222","journal-title":"J Bone Joint Surg Am"},{"issue":"1","key":"4769_CR9","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1016\/j.fas.2022.09.006","volume":"29","author":"C Barlow","year":"2023","unstructured":"Barlow C, Duggleby L, Barton T (2023) Early weight bearing in elderly patients with ankle fractures reduces care needs and maintains independence. Foot Ankle Surg 29(1):63\u201366. https:\/\/doi.org\/10.1016\/j.fas.2022.09.006","journal-title":"Foot Ankle Surg"},{"issue":"8","key":"4769_CR10","doi-asserted-by":"publisher","first-page":"588","DOI":"10.1016\/j.fas.2023.07.001","volume":"29","author":"S Balziano","year":"2023","unstructured":"Balziano S, Baran I, Prat D (2023) Hindfoot nailing without joint preparation for ankle fractures in extremely elderly patients: comparison of clinical and patient-reported outcomes with standard ORIF. Foot Ankle Surg 29(8):588\u2013592. https:\/\/doi.org\/10.1016\/j.fas.2023.07.001","journal-title":"Foot Ankle Surg"},{"issue":"2","key":"4769_CR11","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1016\/j.injury.2016.11.017","volume":"48","author":"D Georgiannos","year":"2017","unstructured":"Georgiannos D, Lampridis V, Bisbinas I (2017) Fragility fractures of the ankle in the elderly: open reduction and internal fixation versus tibio-talo-calcaneal nailing: short-term results of a prospective randomized-controlled study. Injury 48(2):519\u2013524. https:\/\/doi.org\/10.1016\/j.injury.2016.11.017","journal-title":"Injury"},{"issue":"8","key":"4769_CR12","doi-asserted-by":"publisher","first-page":"3539","DOI":"10.1007\/s00590-023-03551-9","volume":"33","author":"AR Deemer","year":"2023","unstructured":"Deemer AR, Ganta A, Leucht P, Konda S, Tejwani NC, Egol KA (2023) Home discharge location is safest following fracture of the hip. Eur J Orthop Surg Traumatol 33(8):3539\u20133546. https:\/\/doi.org\/10.1007\/s00590-023-03551-9","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"6","key":"4769_CR13","doi-asserted-by":"publisher","first-page":"1155","DOI":"10.1016\/j.arth.2015.11.044","volume":"31","author":"A Keswani","year":"2016","unstructured":"Keswani A, Tasi MC, Fields A, Lovy AJ, Moucha CS, Bozic KJ (2016) Discharge destination after total joint arthroplasty: an analysis of postdischarge outcomes, placement risk factors, and recent trends. J Arthroplasty 31(6):1155\u20131162. https:\/\/doi.org\/10.1016\/j.arth.2015.11.044","journal-title":"J Arthroplasty"},{"issue":"10","key":"4769_CR14","doi-asserted-by":"publisher","first-page":"2010","DOI":"10.1016\/j.injury.2015.05.020","volume":"46","author":"RJ Kadakia","year":"2015","unstructured":"Kadakia RJ, Hsu RY, Hayda R, Lee Y, Bariteau JT (2015) Evaluation of one-year mortality after geriatric ankle fractures in patients admitted to nursing homes. Injury 46(10):2010\u20132015. https:\/\/doi.org\/10.1016\/j.injury.2015.05.020","journal-title":"Injury"},{"issue":"1","key":"4769_CR15","first-page":"159","volume":"40","author":"G Chang","year":"2020","unstructured":"Chang G, Henry T, Sobol K, Krieg J (2020) Short term complications in geriatric ankle fractures using a protocolized approach to surgical treatment: Is early weight bearing safe? Iowa Orthop J 40(1):159\u2013165","journal-title":"Iowa Orthop J"},{"issue":"1","key":"4769_CR16","doi-asserted-by":"publisher","DOI":"10.1177\/24730114241310413","volume":"10","author":"A Coscia","year":"2025","unstructured":"Coscia A, Jandzinski M, Talusan P, Ahn J (2025) Weightbearing in select geriatric ankle fractures following open reduction internal fixation: short scientific report. Foot Ankle Orthop 10(1):24730114241310413. https:\/\/doi.org\/10.1177\/24730114241310413","journal-title":"Foot Ankle Orthop"}],"container-title":["European Journal of Orthopaedic Surgery &amp; Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-026-04769-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00590-026-04769-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-026-04769-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T10:18:52Z","timestamp":1780309132000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00590-026-04769-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,1]]},"references-count":16,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4769"],"URL":"https:\/\/doi.org\/10.1007\/s00590-026-04769-z","relation":{},"ISSN":["1432-1068"],"issn-type":[{"value":"1432-1068","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,1]]},"assertion":[{"value":"7 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ravi A. Karia is a paid consultant and speaker for Zimmer Biomet and Smith & Nephew. The remaining authors declare no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"207"}}