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Ankle fractures in the elderly: risks and management challenges
Ankle fractures are the third most common osseous injury in the elderly, behind hip and distal radius fractures. While there is a rich history of clinical advancement in the timing, technique, perioperative management, and associated risks of hip fractures, similar evaluations are only more recently...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209347/ https://www.ncbi.nlm.nih.gov/pubmed/30774476 http://dx.doi.org/10.2147/ORR.S112684 |
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author | Kadakia, Rishin J Ahearn, Briggs M Schwartz, Andrew M Tenenbaum, Shay Bariteau, Jason T |
author_facet | Kadakia, Rishin J Ahearn, Briggs M Schwartz, Andrew M Tenenbaum, Shay Bariteau, Jason T |
author_sort | Kadakia, Rishin J |
collection | PubMed |
description | Ankle fractures are the third most common osseous injury in the elderly, behind hip and distal radius fractures. While there is a rich history of clinical advancement in the timing, technique, perioperative management, and associated risks of hip fractures, similar evaluations are only more recently being undertaken for ankle fractures. Traditionally, elderly patients were treated more conservatively; however, nonoperative management has been found to be associated with increased mortality. As such, older and less healthy patients have become operative candidates. The benefits of geriatric/orthopedic inpatient comanagement that have been well elucidated in the hip fracture literature also seem to improve outcomes in elderly patients with ankle fractures. One of the orthopedist’s roles is to recognize the complexities of osteoporotic bone fixation and optimize wound healing potential. Though the immediate cost of this surgical approach is inevitably higher, the ultimate cost of long-term care has been found to be substantially reduced. It is important to consider the mortality and morbidity benefits and cost reductions of operative intervention and proper inpatient care of geriatric ankle fractures when they present to the emergency department or the office. |
format | Online Article Text |
id | pubmed-6209347 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-62093472019-02-15 Ankle fractures in the elderly: risks and management challenges Kadakia, Rishin J Ahearn, Briggs M Schwartz, Andrew M Tenenbaum, Shay Bariteau, Jason T Orthop Res Rev Review Ankle fractures are the third most common osseous injury in the elderly, behind hip and distal radius fractures. While there is a rich history of clinical advancement in the timing, technique, perioperative management, and associated risks of hip fractures, similar evaluations are only more recently being undertaken for ankle fractures. Traditionally, elderly patients were treated more conservatively; however, nonoperative management has been found to be associated with increased mortality. As such, older and less healthy patients have become operative candidates. The benefits of geriatric/orthopedic inpatient comanagement that have been well elucidated in the hip fracture literature also seem to improve outcomes in elderly patients with ankle fractures. One of the orthopedist’s roles is to recognize the complexities of osteoporotic bone fixation and optimize wound healing potential. Though the immediate cost of this surgical approach is inevitably higher, the ultimate cost of long-term care has been found to be substantially reduced. It is important to consider the mortality and morbidity benefits and cost reductions of operative intervention and proper inpatient care of geriatric ankle fractures when they present to the emergency department or the office. Dove Medical Press 2017-05-29 /pmc/articles/PMC6209347/ /pubmed/30774476 http://dx.doi.org/10.2147/ORR.S112684 Text en © 2017 Kadakia et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Review Kadakia, Rishin J Ahearn, Briggs M Schwartz, Andrew M Tenenbaum, Shay Bariteau, Jason T Ankle fractures in the elderly: risks and management challenges |
title | Ankle fractures in the elderly: risks and management challenges |
title_full | Ankle fractures in the elderly: risks and management challenges |
title_fullStr | Ankle fractures in the elderly: risks and management challenges |
title_full_unstemmed | Ankle fractures in the elderly: risks and management challenges |
title_short | Ankle fractures in the elderly: risks and management challenges |
title_sort | ankle fractures in the elderly: risks and management challenges |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209347/ https://www.ncbi.nlm.nih.gov/pubmed/30774476 http://dx.doi.org/10.2147/ORR.S112684 |
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