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Ankle Joint01:10

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Bone Disorders01:29

Bone Disorders

Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bones of the Lower Limb: Tibia and Fibula01:10

Bones of the Lower Limb: Tibia and Fibula

The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
Osteoclasts in Bone Remodeling01:31

Osteoclasts in Bone Remodeling

Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...

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Related Experiment Video

Updated: May 12, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Osteoporotic ankle fractures.

Joshua R Olsen1, Joshua Hunter, Judith F Baumhauer

  • 1Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, NY 14642, USA. Joshua_Olsen@urmc.rochester.edu

The Orthopedic Clinics of North America
|April 3, 2013
PubMed
Summary
This summary is machine-generated.

Elderly ankle fractures are common and increasing. Surgical fixation offers good outcomes, but osteoporosis, diabetes, and smoking increase complication risks in older patients.

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Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
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Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

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Last Updated: May 12, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
07:24

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

Area of Science:

  • Orthopedic Surgery
  • Geriatric Medicine
  • Traumatology

Background:

  • Ankle fractures are a prevalent injury in the elderly population.
  • The incidence of ankle fractures is projected to rise significantly in the coming two decades.
  • Management requires specific consideration of age-related factors and comorbidities.

Purpose of the Study:

  • To review the evaluation and treatment of ankle fractures in elderly patients, particularly those with osteoporosis.
  • To assess outcomes associated with ankle fracture management in this demographic.
  • To discuss relevant surgical techniques for elderly patients.

Main Methods:

  • Literature review focusing on ankle fractures in the elderly.
  • Analysis of factors influencing outcomes, including osteoporosis, diabetes, peripheral vascular disease, and smoking.
  • Evaluation of surgical fixation as a treatment option.

Main Results:

  • Osteoporosis is a critical factor in managing elderly ankle fractures.
  • Surgical fixation can yield favorable outcomes in this patient group.
  • Higher postoperative complication rates are observed in patients with diabetes, peripheral vascular disease, and those who smoke.

Conclusions:

  • Ankle fractures in the elderly necessitate a tailored management approach.
  • Consideration of osteoporosis and other risk factors is crucial for successful treatment.
  • Surgical intervention can be effective, but careful patient selection and management of comorbidities are essential for minimizing complications.