I don't think Dolph should compete unless he is medically cleared. It's better to be safe than sorry. As people have suggested, they could have Ziggler duck the match somehow. Del Rio and Swagger could have a Submission Match in its place to decide Ziggler's #1 Contender. Or you could make an angle out of it where someone attacks Dolph backstage and he can't compete, thus Del Rio and Swagger have a one-on-one Ladder Match which Del Rio wins. Or you slip Christian in there under Booker T's orders, since "a Triple Threat Ladder Match was advertised" and Christian can win the belt as a way to bring him back.
Ziggler can return and feud with the heel who attacked him. It could be anyone from Jack Swagger to The Shield to Brock Lesnar (Dolph bumping for Lesnar would be amazing). Or if you go with Christian winning the World Title, you could have it be Christian who took out Ziggler which can set up a double-turn for the two. Christian could even steal AJ and Big E. Langston away from Dolph. Have Langston and AJ paired up as a couple that helps their mentor retain the title.
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