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The present narrative review provides a summary of current concepts for the treatment of ankle fractures in elderly patients.
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Despite a high complication rate, open reduction and internal fixation is the gold standard for operative care. However, individual patient-based treatment decision considering the soft-tissue status, the fracture pattern, as well as the patient’s mobility and comorbidities is mandatory to achieve sufficient patient outcomes.
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Due to high complication rates after surgery in the past, techniques such as fibular nails or minimal invasive techniques should be considered.