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Review
. 2023 Jan 27;8(1):1-10.
doi: 10.1530/EOR-22-0082.

Ankle fractures of the geriatric patient: a narrative review

Patrick Ziegler  1   2 , Christian Bahrs  3 , Christian Konrads  4 , Philipp Hemmann  1 , Marc-Daniel Ahrend  1   5
Affiliations
Review

Ankle fractures of the geriatric patient: a narrative review

Patrick Ziegler et al. EFORT Open Rev. .

Abstract

The present narrative review provides a summary of current concepts for the treatment of ankle fractures in elderly patients. Despite a high complication rate, open reduction and internal fixation is the gold standard for operative care. However, individual patient-based treatment decision considering the soft-tissue status, the fracture pattern, as well as the patient's mobility and comorbidities is mandatory to achieve sufficient patient outcomes. Due to high complication rates after surgery in the past, techniques such as fibular nails or minimal invasive techniques should be considered.

Keywords: ankle fracture; fibular nail; fragility fracture; geriatric fracture; osteoporosis.

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Figures

Figure 1
Figure 1
(A) Suprasyndesmotic fibula fracture after open reduction and internal fixation and stabilization with a positioning screw; (B) fibula fracture with a medial malleolar fracture and fracture of the posterolateral rim (Volkmann’s fragment) after closed reduction and stabilization with an external fixator and retrograde K-wires; (C) transsyndesmotic fibula fracture with a medial malleolar fracture after closed reduction of the distal fibula and stabilization with a retrograde fibular nail and open reduction of the medial fracture and stabilization with a compression screw and a K-wire.
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References

    1. Guggenbuhl P, Meadeb J, Chales G. Osteoporotic fractures of the proximal humerus, pelvis, and ankle: epidemiology and diagnosis. Joint Bone Spine 200572372–375. (10.1016/j.jbspin.2004.04.002) - DOI - PubMed
    1. Kannus P, Palvanen M, Niemi S, Parkkari J, Jarvinen M. Increasing number and incidence of low-trauma ankle fractures in elderly people: Finnish statistics during 1970–2000 and projections for the future. Bone 200231430–433. (10.1016/s8756-3282(0200832-3) - DOI - PubMed
    1. Ensrud KE.Epidemiology of fracture risk with advancing age. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 2013681236–1242. (10.1093/gerona/glt092) - DOI - PubMed
    1. Bariteau JT, Hsu RY, Mor V, Lee Y, DiGiovanni CW, Hayda R. Operative versus nonoperative treatment of geriatric ankle fractures: a Medicare Part A claims database analysis. Foot and Ankle International 201536648–655. (10.1177/1071100715573707) - DOI - PubMed
    1. Hsu RY, Lee Y, Hayda R, DiGiovanni CW, Mor V, Bariteau JT. Morbidity and mortality associated with geriatric ankle fractures: a Medicare Part A claims database analysis. Journal of Bone and Joint Surgery. American Volume 2015971748–1755. (10.2106/JBJS.O.00095) - DOI - PubMed