Ankle fractures in the elderly: Do we have new concepts?

The relevance of geriatric ankle fractures is continuously increasing. Treatment of these patients remains challenging and requires adapted diagnostic and therapeutic strategies, as compliance to partial weight bearing is difficult to maintain compared to younger patients. In addition, in the el...

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Main Authors: Michael J Raschke, Sabine Ochman, Alexander Milstrey
Format: Article
Language:English
Published: Bioscientifica 2023-05-01
Series:EFORT Open Reviews
Subjects:
Online Access:https://eor.bioscientifica.com/view/journals/eor/8/5/EOR-23-0052.xml
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author Michael J Raschke
Sabine Ochman
Alexander Milstrey
author_facet Michael J Raschke
Sabine Ochman
Alexander Milstrey
author_sort Michael J Raschke
collection DOAJ
description The relevance of geriatric ankle fractures is continuously increasing. Treatment of these patients remains challenging and requires adapted diagnostic and therapeutic strategies, as compliance to partial weight bearing is difficult to maintain compared to younger patients. In addition, in the elderly even low impact injuries may lead to severe soft tissue trauma, influencing timing and operative strategies. Recently, the direct posterolateral approach and plate fixation techniques, angular stable implants as well as intramedullary nailing of the distal fibula have been found to improve stategical concepts. This article aims to provide a comprehensive overview of the diagnostic and recent aspects with respect to how this difficult entity of injuries should be approached.
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spelling doaj.art-d6e1b0c7cb5e489c837b1a791f9799502023-05-10T07:04:23ZengBioscientificaEFORT Open Reviews2058-52412023-05-0185223230https://doi.org/10.1530/EOR-23-0052Ankle fractures in the elderly: Do we have new concepts?Michael J Raschke0Sabine Ochman1Alexander Milstrey2Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, GermanyDepartment of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, GermanyDepartment of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, GermanyThe relevance of geriatric ankle fractures is continuously increasing. Treatment of these patients remains challenging and requires adapted diagnostic and therapeutic strategies, as compliance to partial weight bearing is difficult to maintain compared to younger patients. In addition, in the elderly even low impact injuries may lead to severe soft tissue trauma, influencing timing and operative strategies. Recently, the direct posterolateral approach and plate fixation techniques, angular stable implants as well as intramedullary nailing of the distal fibula have been found to improve stategical concepts. This article aims to provide a comprehensive overview of the diagnostic and recent aspects with respect to how this difficult entity of injuries should be approached.https://eor.bioscientifica.com/view/journals/eor/8/5/EOR-23-0052.xmlanklefractureelderly
spellingShingle Michael J Raschke
Sabine Ochman
Alexander Milstrey
Ankle fractures in the elderly: Do we have new concepts?
EFORT Open Reviews
ankle
fracture
elderly
title Ankle fractures in the elderly: Do we have new concepts?
title_full Ankle fractures in the elderly: Do we have new concepts?
title_fullStr Ankle fractures in the elderly: Do we have new concepts?
title_full_unstemmed Ankle fractures in the elderly: Do we have new concepts?
title_short Ankle fractures in the elderly: Do we have new concepts?
title_sort ankle fractures in the elderly do we have new concepts
topic ankle
fracture
elderly
url https://eor.bioscientifica.com/view/journals/eor/8/5/EOR-23-0052.xml
work_keys_str_mv AT michaeljraschke anklefracturesintheelderlydowehavenewconcepts
AT sabineochman anklefracturesintheelderlydowehavenewconcepts
AT alexandermilstrey anklefracturesintheelderlydowehavenewconcepts