Ankle fractures in the elderly: risks and management challenges
Rishin J Kadakia,1 Briggs M Ahearn,1 Andrew M Schwartz,1 Shay Tenenbaum,2 Jason T Bariteau1 1Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA; 2Department of Orthopedic Surgery, Chaim Sheba Medical Center at Tel Hashomer, Affiliated to the Sackler Faculty of Medicine...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2017-05-01
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| Series: | Orthopedic Research and Reviews |
| Subjects: | |
| Online Access: | https://www.dovepress.com/ankle-fractures-in-the-elderly-risks-and-management-challenges-peer-reviewed-article-ORR |
| _version_ | 1819020759378427904 |
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| author | Kadakia RJ Ahearn BM Schwartz AM Tenenbaum S Bariteau JT |
| author_facet | Kadakia RJ Ahearn BM Schwartz AM Tenenbaum S Bariteau JT |
| author_sort | Kadakia RJ |
| collection | DOAJ |
| description | Rishin J Kadakia,1 Briggs M Ahearn,1 Andrew M Schwartz,1 Shay Tenenbaum,2 Jason T Bariteau1 1Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA; 2Department of Orthopedic Surgery, Chaim Sheba Medical Center at Tel Hashomer, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Abstract: Ankle fractures are the third most common osseous injury in the elderly, behind hip and distal radius fractures. While there is a rich history of clinical advancement in the timing, technique, perioperative management, and associated risks of hip fractures, similar evaluations are only more recently being undertaken for ankle fractures. Traditionally, elderly patients were treated more conservatively; however, nonoperative management has been found to be associated with increased mortality. As such, older and less healthy patients have become operative candidates. The benefits of geriatric/orthopedic inpatient comanagement that have been well elucidated in the hip fracture literature also seem to improve outcomes in elderly patients with ankle fractures. One of the orthopedist’s roles is to recognize the complexities of osteoporotic bone fixation and optimize wound healing potential. Though the immediate cost of this surgical approach is inevitably higher, the ultimate cost of long-term care has been found to be substantially reduced. It is important to consider the mortality and morbidity benefits and cost reductions of operative intervention and proper inpatient care of geriatric ankle fractures when they present to the emergency department or the office. Keywords: ankle fractures, geriatrics, trauma, outcomes, management, surgery |
| first_indexed | 2024-12-21T03:56:19Z |
| format | Article |
| id | doaj.art-c0aebf0949414636b39ecc98a3f6aa25 |
| institution | Directory Open Access Journal |
| issn | 1179-1462 |
| language | English |
| last_indexed | 2024-12-21T03:56:19Z |
| publishDate | 2017-05-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Orthopedic Research and Reviews |
| spelling | doaj.art-c0aebf0949414636b39ecc98a3f6aa252022-12-21T19:16:50ZengDove Medical PressOrthopedic Research and Reviews1179-14622017-05-01Volume 9455033059Ankle fractures in the elderly: risks and management challengesKadakia RJAhearn BMSchwartz AMTenenbaum SBariteau JTRishin J Kadakia,1 Briggs M Ahearn,1 Andrew M Schwartz,1 Shay Tenenbaum,2 Jason T Bariteau1 1Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA; 2Department of Orthopedic Surgery, Chaim Sheba Medical Center at Tel Hashomer, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Abstract: Ankle fractures are the third most common osseous injury in the elderly, behind hip and distal radius fractures. While there is a rich history of clinical advancement in the timing, technique, perioperative management, and associated risks of hip fractures, similar evaluations are only more recently being undertaken for ankle fractures. Traditionally, elderly patients were treated more conservatively; however, nonoperative management has been found to be associated with increased mortality. As such, older and less healthy patients have become operative candidates. The benefits of geriatric/orthopedic inpatient comanagement that have been well elucidated in the hip fracture literature also seem to improve outcomes in elderly patients with ankle fractures. One of the orthopedist’s roles is to recognize the complexities of osteoporotic bone fixation and optimize wound healing potential. Though the immediate cost of this surgical approach is inevitably higher, the ultimate cost of long-term care has been found to be substantially reduced. It is important to consider the mortality and morbidity benefits and cost reductions of operative intervention and proper inpatient care of geriatric ankle fractures when they present to the emergency department or the office. Keywords: ankle fractures, geriatrics, trauma, outcomes, management, surgeryhttps://www.dovepress.com/ankle-fractures-in-the-elderly-risks-and-management-challenges-peer-reviewed-article-ORRAnkle fracturesgeriatricstraumaoutcomesmanagementsurgery |
| spellingShingle | Kadakia RJ Ahearn BM Schwartz AM Tenenbaum S Bariteau JT Ankle fractures in the elderly: risks and management challenges Orthopedic Research and Reviews Ankle fractures geriatrics trauma outcomes management surgery |
| title | Ankle fractures in the elderly: risks and management challenges |
| title_full | Ankle fractures in the elderly: risks and management challenges |
| title_fullStr | Ankle fractures in the elderly: risks and management challenges |
| title_full_unstemmed | Ankle fractures in the elderly: risks and management challenges |
| title_short | Ankle fractures in the elderly: risks and management challenges |
| title_sort | ankle fractures in the elderly risks and management challenges |
| topic | Ankle fractures geriatrics trauma outcomes management surgery |
| url | https://www.dovepress.com/ankle-fractures-in-the-elderly-risks-and-management-challenges-peer-reviewed-article-ORR |
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