{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:47Z","timestamp":1783509287284,"version":"3.55.0"},"reference-count":11,"publisher":"MDPI AG","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>Ankle fractures have been well documented and are common, especially in the elderly, behind hip and distal radius fractures. Open reduction and internal fixation (ORIF) is the standard of treatment for displaced and unstable ankle fractures. Traditionally, ankle fractures in the elderly population have been treated with nonoperative methods; however, nonoperative methods have been associated with increased mortality. Thus, there has been a shift toward operative management for the elderly and less healthy patients. However, these patients often present with more comorbidities that make them not ideal candidates for ORIF of the fracture. Minimally invasive intramedullary nailing of the fibula has gained popularity in recent years for the treatment of displaced ankle fractures. A 72-year-old man presented to the clinic with left ankle pain with a duration of 2 weeks. Radiography revealed a displaced fracture of the left fibula at the level of the ankle joint. This case report documents the surgical treatment of a displaced distal fibula fracture using minimally invasive intramedullary nailing of the fibula. At 4 months\u2019 follow-up, the patient was walking with minimal assistance and weightbearing as tolerated. Left untreated, displaced ankle fractures can be very debilitating, with increased mortality and morbidity, especially in the elderly population. Thus, early diagnosis and surgical treatment of displaced ankle fractures are imperative. The purpose of this report was to raise awareness of minimally invasive fibular nailing as an alternative to ORIF in the treatment of displaced ankle fractures in the elderly.<\/jats:p>","DOI":"10.7547\/22-121","type":"journal-article","created":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T13:39:03Z","timestamp":1694525943000},"source":"Crossref","is-referenced-by-count":1,"title":["Repair of Distal Fibula Fractures with Minimally Invasive Intramedullary Nailing in the Elderly"],"prefix":"10.3390","volume":"113","author":[{"given":"Rayven","family":"Bridges","sequence":"first","affiliation":[{"name":"Texas Foot & Ankle Specialists, Katy, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelica","family":"Saulabiu","sequence":"additional","affiliation":[{"name":"St. Joseph Medical Center, Houston, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","article-title":"Facts about falls","unstructured":"Centers for Disease Control and Prevention. Facts about falls. Available at: https:\/\/www.cdc.gov\/falls\/facts.html. Published August 6, 2021. Accessed May 12, 2022."},{"key":"B2","series-title":"Foot Ankle Surg","first-page":"103","article-title":"Complications after open reduction and internal fixation of ankle fractures in the elderly","volume":"18","author":"Lynde MJ","year":"2012","unstructured":"Lynde MJ, Sautter T, Hamilton GA, : Complications after open reduction and internal fixation of ankle fractures in the elderly. Foot Ankle Surg 18: 103, 2012."},{"key":"B3","series-title":"J Gerontol A Biol Sci Med Sci","first-page":"296","article-title":"Comorbidity in older adults: nosology of impairment, diseases, and conditions","volume":"62","author":"Karlamangla A","year":"2007","unstructured":"Karlamangla A, Tinetti M, Guralnik J, : Comorbidity in older adults: nosology of impairment, diseases, and conditions. J Gerontol A Biol Sci Med Sci 62: 296, 2007."},{"key":"B4","series-title":"Arch Orthop Trauma Surg","first-page":"511","article-title":"The epidemic of ankle fractures in the elderly: is surgical treatment warranted?","volume":"120","author":"Salai M","year":"2000","unstructured":"Salai M, Dudkiewicz I, Novikov I, : The epidemic of ankle fractures in the elderly: is surgical treatment warranted? Arch Orthop Trauma Surg 120: 511, 2000."},{"key":"B5","series-title":"J Bone Joint Surg Br","first-page":"525","article-title":"Conservative versus operative treatment for displaced ankle fractures in patients over 55 years of age","volume":"83","author":"Makwana NK","year":"2001","unstructured":"Makwana NK, Bhowal B, Harper WM, : Conservative versus operative treatment for displaced ankle fractures in patients over 55 years of age. J Bone Joint Surg Br 83: 525, 2001."},{"key":"B6","series-title":"Foot Ankle Int","first-page":"648","article-title":"Operative versus nonoperative treatment of geriatric ankle fractures","volume":"36","author":"Bariteau JT","year":"2015","unstructured":"Bariteau JT, Hsu RY, Mor V, : Operative versus nonoperative treatment of geriatric ankle fractures. Foot Ankle Int 36: 648, 2015."},{"key":"B7","series-title":"Orthop Res Rev","first-page":"45","article-title":"Ankle fractures in the elderly: risks and management challenges","volume":"9","author":"Kadakia R","year":"2017","unstructured":"Kadakia R, Ahearn B, Schwartz A, : Ankle fractures in the elderly: risks and management challenges. Orthop Res Rev 9: 45, 2017."},{"key":"B8","series-title":"Bone Joint J","first-page":"1248","article-title":"A prospective randomised controlled trial of the fibular nail versus standard open reduction and internal fixation for fixation of ankle fractures in elderly patients","volume":"98-B","author":"White TO","year":"2016","unstructured":"White TO, Bugler KE, Appleton P, : A prospective randomised controlled trial of the fibular nail versus standard open reduction and internal fixation for fixation of ankle fractures in elderly patients. Bone Joint J 98-B: 1248, 2016."},{"key":"B9","article-title":"The fibular nail: a biomechanical study","author":"Smith G","unstructured":"Smith G, Wallace R: The fibular nail: a biomechanical study. Presented at Procs Seventh SICOT\/SIROT Annual International Conference, Gothenburg. 2010."},{"key":"B10","series-title":"J Foot Ankle Surg","first-page":"P1170","article-title":"Postoperative complications of minimally invasive intramedullary nail fixation versus plate fixation for distal fibular fractures in elderly patients: a retrospective double cohort study in a geriatric trauma unit in the Netherlands","volume":"61","author":"Tas DB","year":"2022","unstructured":"Tas DB, Smeeing DPJ, Keizer J, : Postoperative complications of minimally invasive intramedullary nail fixation versus plate fixation for distal fibular fractures in elderly patients: a retrospective double cohort study in a geriatric trauma unit in the Netherlands. J Foot Ankle Surg 61: P1170, 2022."},{"key":"B11","series-title":"Patient Saf Surg","first-page":"31","article-title":"Safety and efficacy of surgical fixation of fibula fractures using an intramedullary nail: a retrospective observational cohort study in 30 patients","volume":"13","author":"Boni G","year":"2019","unstructured":"Boni G, Sanchez GT, Arliani G, : Safety and efficacy of surgical fixation of fibula fractures using an intramedullary nail: a retrospective observational cohort study in 30 patients. Patient Saf Surg 13: 31, 2019."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/113\/4\/22-121.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/113\/4\/22-121.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/113\/4\/22-121.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:19:21Z","timestamp":1783505961000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/113\/4\/22121"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":11,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.7547\/22-121","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2023,7]]}}}