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complication rate in geriatric ankle fractures significantly ( 12 ). Treatment options The general consideration of treating an ankle fracture in the elderly conservatively or operatively still remains a subject of debate. Fracture dislocations must be
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preferred in the frozen phase. Historically patients were reassured that a complete recovery was inevitable; however, the evidence to support this is variable. In 1978, Grey 7 reported on 24 of 25 patients who improved with conservative treatment or
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, several research groups have established large registries of patients, thereby making the accumulation of data and experience feasible. In a recent systematic review of clinical studies evaluating conservative treatment, the authors concluded that
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diminishing some tendon mechanical properties. Conservative treatment Baumer et al, 34 2016 Controlled laboratory study 25 patients between 48–79 years of age (mean age = 60.2 ± 8.4 years) with symptomatic RCT, and 25 asymptomatic control subjects
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diagnosis. 64 –66 Further studies may be needed to investigate their role and application in the management of Achilles tendinopathy. Non-operative treatment The mainstay of management in non-insertional Achilles tendinopathy is conservative, and
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’ conservative treatment: immobilization in a sling and analgesics – nonunion of the fracture. Then ORIF: 6 hole LCDCP plate and 6 cortical screws + bone graft 5 months post-operative ABD: 90°, FF: 90°, ER & IR: no restriction Full painless function 3
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plates, screws, or intramedullary nails). Despite a trend towards single-stage treatments, 1 – 3 a large number of patients require complex treatment protocols involving prolonged antimicrobial therapy and multiple surgeries, 4 , 5 thus exposing
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elbow joint, secondary to the collateral ligaments and coronoid process. The management of radial head fractures encompasses a spectrum of treatment options, spanning from conservative methods to surgical procedures such as internal fixation
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six months of conservative treatment is recommended. Kim et al, 24 showed that delayed surgical repair following a course of conservative treatment in partial-thickness tears did not yield worse results as compared to immediate arthroscopic repair
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.4% of women received surgical treatment (620/1206). The mean ISS of the 4213 patients was 14.8 ± 10.2. Patients who underwent surgery for their acetabular fracture had a mean ISS of 14.3 ± 9.3, while patients with conservative therapy had a mean ISS of
