{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:11Z","timestamp":1787755151734,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>Tibio-talar-calaneal fusion nails can be used to treat acute ankle fractures in patients with diabetes, Charcot arthropathy, or other comorbidities. Recently, Paragon28 released the Phantom Hindfoot Fusion Nail (Phantom nail) with a unique design feature\u2014a proximal coil. We present a case of an ankle fracture-dislocation in a diabetic patient treated with the Paragon28 nail who experienced early implant failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>It is important for surgeons to understand that the proximal coil in the Phantom nail should not be considered part of the working length of the nail and may introduce a stress riser that may lead to early implant failure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.01004","type":"journal-article","created":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T15:00:27Z","timestamp":1625756427000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Early Failure of the Paragon28 Phantom Hindfoot Fusion Nail"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0432-0100","authenticated-orcid":false,"given":"Elizabeth M.","family":"Friedmann","sequence":"first","affiliation":[{"name":"Anne Arundel Medical Center, Annapolis, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael L.","family":"Sims","sequence":"additional","affiliation":[{"name":"Bon Secours Mercy Health, Greenville, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveen","family":"Pattisapu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, Memphis, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1540-3526","authenticated-orcid":false,"given":"Clayton C.","family":"Bettin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, Memphis, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,7]]},"reference":[{"key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1016\/j.injury.2016.11.017","article-title":"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","volume":"48","author":"Georgiannos","year":"2017","journal-title":"Injury."},{"key":"bib2-20240805","first-page":"75","article-title":"Primary retrograde tibiotalocalcaneal nailing for fragility ankle fractures","volume":"36","author":"Taylor","year":"2016","journal-title":"Iowa Orthop J."},{"key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1302\/2058-5241.5.200025","article-title":"Ankle fractures in diabetic 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