Journal article
Techniques and Considerations for the Operative Treatment of Ankle Fractures in the Elderly
Journal of bone and joint surgery. American volume, v 101(1), pp 85-94
02 Jan 2019
PMID: 30601419
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
In managing fragility fractures about the ankle, nonoperative treatment should be considered with the caveat that soft-tissue integrity is of the utmost importance.
Consultation with medical and nutritional services for the comanagement of elderly patients with a fragility ankle fracture improves outcomes.
Soft-tissue preservation in the elderly is optimized with the judicious use of a tourniquet.
In elderly patients, a congruent ankle joint with axial alignment and stability should be emphasized over achieving anatomic articular reduction.
Less invasive surgical techniques, such as percutaneously placed anterior-to-posterior screws for posterior malleolar fractures and intramedullary fibular fixation, should be considered in the elderly.
Construct stability in elderly patients is maximized with the use of lateral locking plates, tibia-pro-fibula screws, and bicortical medial malleolar screws.
The use of external fixation with hydroxyapatite-coatedpins should be considered in the treatment algorithm for fragility ankle fractures in elderly patients.
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Details
- Title
- Techniques and Considerations for the Operative Treatment of Ankle Fractures in the Elderly
- Creators
- Andrew Konopitski - St. Luke's HospitalAnthony J. Boniello - Drexel UniversityMitesh Shah - Drexel UniversityAnya Katsman - New York University Langone Orthopedic HospitalGarrett Cavanaugh - Drexel UniversitySusan Harding - Drexel University
- Publication Details
- Journal of bone and joint surgery. American volume, v 101(1), pp 85-94
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 10
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000458568900014
- Scopus ID
- 2-s2.0-85059394705
- Other Identifier
- 991019330812004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Orthopedics
- Surgery