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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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accepted. However, optimal treatment for geriatric fractures remains controversial. Geriatric patients are particularly at risk of poor outcomes following ankle fractures due to frequent multimorbidity, poor peripheral blood supply and osteoporosis ( 6 , 7

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Ting-Yu Tu Department of Orthopedics, Kaohsiung Veterans General Hospital, Kaohsiung City, Taiwan

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Chun-Yu Chen Department of Orthopedics, Kaohsiung Veterans General Hospital, Kaohsiung City, Taiwan
Department of Occupational Therapy, Shu-Zen Junior College of Medicine and Management, Kaohsiung City, Taiwan
Department of Biomedical Engineering, I-Shou University, Kaohsiung City, Taiwan

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Pei-Chin Lin Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
Department of Pharmacy, School of Pharmacy, Kaohsiung Medical University, Kaohsiung, Taiwan

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Chih-Yang Hsu Department of Internal Medicine, Division of Nephrology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan

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Kai-Cheng Lin Department of Orthopedics, Kaohsiung Veterans General Hospital, Kaohsiung City, Taiwan

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Introduction The incidence of geriatric acetabular fractures has been reported to be 14% of all acetabular fractures ( 1 ) and 24% in patients aged over 60 years in the United States ( 2 ). This fast-expanding population increases 2.4-fold

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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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ankle fractures has so far not been proven ( 4 ). However, there seems to be a positive correlation between bone mineral density and ankle fractures of the elderly ( 5 , 6 ). Furthermore, in the geriatric population, changes of the neurovascular status

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Ioannis Ktistakis School of Medicine, University of Leeds, UK

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Vasileios Giannoudis School of Medicine, University of Leeds, UK

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Peter V. Giannoudis School of Medicine, University of Leeds; National Institute for Health Research, Leeds Biomedical Research Unit, Leeds, UK

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that reversal of warfarin-associated coagulopathy with vitamin K and/or FFP is not associated with a greater rate of post-operative complications in the high-risk geriatric population of patients with hip fractures and was found to be a safe alternative

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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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Allan Roy Sekeitto Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Nkhodiseni Sikhauli Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Dick Ronald van der Jagt Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Lipalo Mokete Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Jurek R.T. Pietrzak Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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is healthier and more active 8 , 12 and presents a major public healthcare issue. 13 Globally, the management of hip fractures may serve as an indicator of the quality of care of the geriatric population. 4 FNFs are associated with

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Markus A. Küper BG Trauma Center, Department for Traumatology and Reconstructive Surgery, Eberhard Karls University, Tübingen, Germany

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Alexander Trulson BG Trauma Center, Department for Traumatology and Reconstructive Surgery, Eberhard Karls University, Tübingen, Germany

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Fabian M. Stuby BG Trauma Center, Department for Traumatology, Orthopedics and Surgery, Murnau am Staffelsee, Germany

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Ulrich Stöckle BG Trauma Center, Department for Traumatology and Reconstructive Surgery, Eberhard Karls University, Tübingen, Germany

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investigation. Epidemiology of pelvic ring fractures About 3% of all fractures affect the pelvic ring. 9 , 10 However, a Swedish study in the early 1990s showed that the incidence of pelvic ring fractures notably increases in geriatric patients

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Ian Garrison Department of Orthopaedic Surgery, University of South Alabama, College of Medicine, Alabama, USA

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Grayson Domingue Department of Orthopaedic Surgery, University of South Alabama, College of Medicine, Alabama, USA

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M. Wesley Honeycutt Department of Orthopaedic Surgery, University of South Alabama, College of Medicine, Alabama, USA

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Kristiansen T Bartlett CS Schottel PC . Nonoperative geriatric hip fracture treatment is associated with increased mortality: a matched cohort study . J Orthop Trauma 2019 ; 33 : 346 – 350 . 15. Koval KJ Rezaie

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Emmanuele Santolini Academic Unit of Trauma and Orthopaedics, University of Genoa, Italy
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK

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Nikolaos K. Kanakaris Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK

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

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. Suicidal jumper’s fracture – sacral fractures and spinopelvic instability: a case series . J Med Case Rep 2018 ; 12 : 186 . 21. Pulley BR Cotman SB Fowler TT . Surgical fixation of geriatric sacral U-type insufficiency

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Karl Stoffel Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland

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Christoph Sommer Department of Surgery, Kantonsspital Graubuenden, Chur, Switzerland

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Mark Lee Department of Orthopaedic Surgery, UC Davis Medical Center, Sacramento, California, USA

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Tracy Y Zhu AO Innovation Translation Center, AO Foundation, Davos, Switzerland

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Karsten Schwieger AO Innovation Translation Center, AO Foundation, Davos, Switzerland

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Christopher Finkemeier Sutter Roseville Medical Center, Roseville, California, USA

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tibial plate ( n   = 5) Corticocancellous autograft from iliac bone ( n   = 10)  Metwaly & Zakaria (31) Prospective 23 Isolated, closed, osteoporotic distal femoral fracture in geriatric patients (>60 years).A3 ( n   = 3), C1 ( n   = 2), C2

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