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...
Main Authors: | , , |
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Format: | Article |
Language: | English |
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Bioscientifica
2023-05-01
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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. |
first_indexed | 2024-04-09T13:27:55Z |
format | Article |
id | doaj.art-d6e1b0c7cb5e489c837b1a791f979950 |
institution | Directory Open Access Journal |
issn | 2058-5241 |
language | English |
last_indexed | 2024-04-09T13:27:55Z |
publishDate | 2023-05-01 |
publisher | Bioscientifica |
record_format | Article |
series | EFORT Open Reviews |
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 |