Ankle fractures in the elderly: Current concepts
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Updated: Dec 2, 2025

A Mouse Model of Ankle-Subtalar Complex Joint Instability
Published on: October 28, 2022
Oliver Pearce1, Khalid Al-Hourani1, Michael Kelly1
1Southmead Hospital, Department of Trauma and Orthopaedics, North Bristol NHS Trust, Southmead Road, BS10 5NB, Bristol, United Kingdom.
Abstract:
Ankle fractures remain the third most common musculoskeletal injury in the elderly population. The presence of osteoporosis, significant multiple comorbidities and limited functional independence makes treatment of such injuries challenging. Early studies highlighted high rates of post-operative complications and poor outcomes after surgical intervention. With advances in surgical techniques and a greater understanding of multi-disciplinary team (MDT)-driven peri-operative care and rehabilitation, evidence now appears to suggest improved outcomes for operative management. Approaches must be adapted according to co-morbidities, baseline function and patient wishes. This review article aims to discuss contemporary treatment strategies and the complex challenges associated with the management of the elderly ankle fracture.
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