Hindfoot nailing gets frail, elderly ankle-fracture patients’ weight-bearing early without added complications, according to two retrospective studies. Long-term function remains unproven. The clinical gap These patients often can’t comply with non-weight-bearing instructions, ORIF is frequently unsafe for them, and casting also requires non-weight-bearing. Study 1: 22 patients (mean age 79, all ASA 3 or higher) were nailed without joint preparation.  All patients (100%) wer