• Injury · Dec 2020

    Review Practice Guideline

    Ankle fractures in the elderly: Current concepts.

    • Oliver Pearce, Khalid Al-Hourani, and Michael Kelly.
    • Southmead Hospital, Department of Trauma and Orthopaedics, North Bristol NHS Trust, Southmead Road, BS10 5NB, Bristol, United Kingdom. Electronic address: oliver.pearce@nhs.net.
    • Injury. 2020 Dec 1; 51 (12): 2740-2747.

    AbstractAnkle 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.Copyright © 2020. Published by Elsevier Ltd.

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