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Review
. 2017;6(1):9-14.
doi: 10.1007/s13670-017-0196-y. Epub 2017 Feb 3.

Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly

P Hoogervorst  1 , Cja Van Bergen  2 , Mpj Van den Bekerom  1
Affiliations
Review

Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly

P Hoogervorst et al. Curr Geriatr Rep. 2017.

Abstract

Purpose of review: Treatment of osteoporotic and neuropathic ankle fractures in the elderly is challenging. The purpose of this paper is to review recent publications on this topic and to identify the optimal treatment for these fractures.

Recent findings: Treatment consists of a variety of conservative or operative options all with advantages and disadvantages as described in this review. Little research has been published that specifically focuses on elderly patients with ankle fractures. Operative treatment has a high complication rate. Multiple comorbidities are predictors for complications.

Summary: An optimal treatment could not be distilled but based on the available literature, a general treatment algorithm is proposed. Since the elderly typically are accompanied by multiple comorbidities as well as impaired mobility, the physician should focus not only on treating the fractured ankle but also on the patient as a whole. Further research on this specific topic is needed.

Keywords: Ankle fracture; Elderly; Multidisciplinary; Neuropathy; Osteoporosis.

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Conflict of interest statement

Conflict of Interest

Paul Hoogervorst, Christiaan van Bergen, and Michel van der Bekerom declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Figures

Fig. 1
Fig. 1
Algorithm decision-making in osteoporotic and neuropathic ankle fractures in the elderly
See this image and copyright information in PMC

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