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Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly

PURPOSE OF REVIEW: Treatment of osteoporotic and neuropathic ankle fractures in the elderly is challenging. The purpose of this paper is to review recent publications on this topic and to identify the optimal treatment for these fractures. RECENT FINDINGS: Treatment consists of a variety of conserva...

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Autores principales: Hoogervorst, P, Bergen, CJA Van, Van den Bekerom, MPJ
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5334400/
https://www.ncbi.nlm.nih.gov/pubmed/28316904
http://dx.doi.org/10.1007/s13670-017-0196-y
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author Hoogervorst, P
Bergen, CJA Van
Van den Bekerom, MPJ
author_facet Hoogervorst, P
Bergen, CJA Van
Van den Bekerom, MPJ
author_sort Hoogervorst, P
collection PubMed
description PURPOSE OF REVIEW: Treatment of osteoporotic and neuropathic ankle fractures in the elderly is challenging. The purpose of this paper is to review recent publications on this topic and to identify the optimal treatment for these fractures. RECENT FINDINGS: Treatment consists of a variety of conservative or operative options all with advantages and disadvantages as described in this review. Little research has been published that specifically focuses on elderly patients with ankle fractures. Operative treatment has a high complication rate. Multiple comorbidities are predictors for complications. SUMMARY: An optimal treatment could not be distilled but based on the available literature, a general treatment algorithm is proposed. Since the elderly typically are accompanied by multiple comorbidities as well as impaired mobility, the physician should focus not only on treating the fractured ankle but also on the patient as a whole. Further research on this specific topic is needed.
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spelling pubmed-53344002017-03-15 Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly Hoogervorst, P Bergen, CJA Van Van den Bekerom, MPJ Curr Geriatr Rep Geriatric Orthopedics (E Meinberg, Section Editor) PURPOSE OF REVIEW: Treatment of osteoporotic and neuropathic ankle fractures in the elderly is challenging. The purpose of this paper is to review recent publications on this topic and to identify the optimal treatment for these fractures. RECENT FINDINGS: Treatment consists of a variety of conservative or operative options all with advantages and disadvantages as described in this review. Little research has been published that specifically focuses on elderly patients with ankle fractures. Operative treatment has a high complication rate. Multiple comorbidities are predictors for complications. SUMMARY: An optimal treatment could not be distilled but based on the available literature, a general treatment algorithm is proposed. Since the elderly typically are accompanied by multiple comorbidities as well as impaired mobility, the physician should focus not only on treating the fractured ankle but also on the patient as a whole. Further research on this specific topic is needed. Springer US 2017-02-03 2017 /pmc/articles/PMC5334400/ /pubmed/28316904 http://dx.doi.org/10.1007/s13670-017-0196-y Text en © The Author(s) 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Geriatric Orthopedics (E Meinberg, Section Editor)
Hoogervorst, P
Bergen, CJA Van
Van den Bekerom, MPJ
Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly
title Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly
title_full Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly
title_fullStr Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly
title_full_unstemmed Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly
title_short Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly
title_sort management of osteoporotic and neuropathic ankle fractures in the elderly
topic Geriatric Orthopedics (E Meinberg, Section Editor)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5334400/
https://www.ncbi.nlm.nih.gov/pubmed/28316904
http://dx.doi.org/10.1007/s13670-017-0196-y
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