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The relevance of geriatric ankle fractures is continuously increasing.
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Treatment of these patients remains challenging and requires adapted diagnostic and therapeutic strategies, as compliance to partial weight bearing is difficult to maintain compared to younger patients.
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In addition, in the elderly even low impact injuries may lead to severe soft tissue trauma, influencing timing and operative strategies.
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Recently, the direct posterolateral approach and plate fixation techniques, angular stable implants as well as intramedullary nailing of the distal fibula have been found to improve stategical concepts.
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This article aims to provide a comprehensive overview of the diagnostic and recent aspects with respect to how this difficult entity of injuries should be approached.
