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Victor Lu School of Clinical Medicine, University of Cambridge, Cambridge, UK

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Maria Tennyson Department of Trauma and Orthopaedics, Addenbrooke’s Hospital, Cambridge, UK

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Andrew Zhou School of Clinical Medicine, University of Cambridge, Cambridge, UK

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Ravi Patel Department of Trauma and Orthopaedics, Shrewsbury and Telford Hospital NHS Trust, UK

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Mary D Fortune Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK

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Azeem Thahir Department of Trauma and Orthopaedics, Addenbrooke’s Hospital, Cambridge, UK

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Matija Krkovic Department of Trauma and Orthopaedics, Addenbrooke’s Hospital, Cambridge, UK

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Introduction After the hip and distal radius, ankle fragility fractures (FFs) are the third most common type of fracture in the geriatric population, with an incidence of 184 cases per 100,000 population in the elderly per year ( 1 ). Despite

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Stefan Rammelt University Center of Orthopaedics & Traumatology, University Hospital Carl Gustav Carus, Dresden, Germany

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.5, which means that the bone mineral density (BMD) is 2.5 standard deviations below the young adult average BMD obtained by dual-energy x-ray absorptiometry scan (DEXA), or by the presence of a fragility fracture. The ten-year probability of sustaining an

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Michael J Raschke Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Sabine Ochman Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Alexander Milstrey Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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: technique and literature review . Ota International 2022 5 e183. ( https://doi.org/10.1097/OI9.0000000000000183 ) 45. Georgiannos D Lampridis V & Bisbinas I . Fragility fractures of the ankle in the elderly: open reduction and internal fixation

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Patrick Ziegler BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany
Department of Orthopaedics and Trauma Surgery, Klinik Gut, St. Moritz, Switzerland

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Christian Bahrs Schön Klinik Neustadt, Neustadt in Holstein, Germany

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Christian Konrads Department of Orthopaedic Surgery, University of Tübingen, Tübingen, Germany

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Philipp Hemmann BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany

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Marc-Daniel Ahrend BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany
AO Research Institute Davos, Davos Switzerland

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controlled trials and observational studies . Journal of Foot and Ankle Surgery 2019 58 119 – 126 . ( https://doi.org/10.1053/j.jfas.2018.08.028 ) 84. Al-Nammari SS Dawson-Bowling S Amin A Nielsen D . Fragility fractures of the ankle in the frail

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George D Chloros Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, UK
Orthopaedic Surgery Working Group, Society of Junior Doctors, Athens, Greece

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Christos D Kakos Orthopaedic Surgery Working Group, Society of Junior Doctors, Athens, Greece

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Ioannis K Tastsidis Orthopaedic Surgery Working Group, Society of Junior Doctors, Athens, Greece
University of Patras, School of Medicine, Patras, Greece

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Vasileios P Giannoudis Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, UK

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Michalis Panteli Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, UK

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Peter V Giannoudis Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, UK
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK

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in that group they should be considered as early fragility fractures and warrant metabolic workup ( 3 ). Complications Although surgical outcomes are widely successful ( 6 , 13 , 36 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 80 , 94

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Xavier Crevoisier University Hospital Center (CHUV) and University of Lausanne (UNIL), Switzerland

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Mathieu Assal Foot and Ankle Center, Clinique la Colline, Geneva, Switzerland

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Katarina Stanekova University Hospital Center (CHUV) and University of Lausanne (UNIL), Switzerland

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joint, orientation of the distal metatarsal articular angle (DMAA), degenerative changes of the joint, indirect manifestations of the insufficiency of the first ray, typically including hypertrophy of the second metatarsal, fatigue fracture of the second

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