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Ankle fractures in the elderly: Do we have new concepts?
Michael J Raschke1, Sabine Ochman1, Alexander Milstrey1
1Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany.
EFORT Open Reviews
|May 9, 2023
Summary
Geriatric ankle fractures pose unique challenges due to difficulties with weight-bearing compliance and soft tissue trauma. Recent advancements in surgical techniques offer improved treatment strategies for these complex injuries.
Area of Science:
- Orthopedic Surgery
- Geriatric Medicine
- Traumatology
Background:
- Geriatric ankle fractures are increasingly common, presenting significant treatment challenges.
- Elderly patients struggle with partial weight-bearing, complicating recovery.
- Low-impact injuries can cause severe soft tissue damage in older adults, affecting surgical timing.
Purpose of the Study:
- To provide a comprehensive overview of geriatric ankle fractures.
- To discuss adapted diagnostic and therapeutic strategies for elderly patients.
- To highlight recent advancements in surgical approaches.
Main Methods:
- Review of current literature on geriatric ankle fracture management.
- Analysis of novel surgical techniques including direct posterolateral approach and angular stable implants.
- Discussion of intramedullary nailing of the distal fibula.
Main Results:
- Adapted diagnostic and therapeutic strategies are crucial for geriatric ankle fractures.
- Direct posterolateral approach and angular stable implants show promise.
- Intramedullary nailing of the distal fibula offers an alternative fixation method.
Conclusions:
- Effective management of geriatric ankle fractures requires tailored approaches.
- Recent surgical innovations are improving outcomes for elderly patients.
- Further research into optimal treatment strategies is warranted.
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