Risks for the future are a source of concern for any trauma patient and are included in the settlement of personal injury claims. In the case of anklefractures, this mainly concerns the risk of osteoarthritis and the resulting
Patrick ZieglerBG 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
Anklefractures represent one of the most common injuries in elderly patients combined with a major health care burden as the elderly population is expected to more than double by the year 2050 ( 1 , 2 , 3 , 4 ). The overall 1
Approximately one in eight patients undergoing surgical treatment for rotational anklefracture is diabetic.
1 , 2
Complications after anklefracture fixation in diabetics have been shown to vary between 26% and 47% versus
risk of wound dehiscence or infection ( 9 ).
This study aims to provide a comprehensive review with a detailed meta-analysis of the current evidence for using a TTC nail as the primary surgical option to treat fragility anklefractures in the elderly
The operative goal in the treatment of anklefractures is well established: to restore anatomy and stability for early movement and full functional recovery, and prevent post-traumatic arthritis. However, the surgical approach
Anklefractures account for approximately 5.5% of fractures in paediatric patients, and 15% of physeal injuries.
They are twice as common in boys than in girls.
Their highest incidence is between the ages of eight and
condition of the patient.
Frailty is accelerating with the aging of the population, affecting between 25 and 50% of adults aged 85 years ( 1 , 2 , 3 , 4 , 5 ), consequently, osteoporotic anklefractures in frail patients are increasingly frequent in
Karl-Friedrich BraunDepartment of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany Department of Traumatology and Reconstructive Surgery including Department of Orthopedic Surgery, Charite Universitätsmedizin Berlin, Berlin, Germany
plantarflexion. Motions in the transverse (internal/external rotation) and coronal plane (varus/valgus) are coupled with motions in the sagittal plane.
Anklefractures are common and account for up to 10% of all bone injuries with a
Management of anklefractures has evolved over the last 10 years. As scientific (laboratory, cadaveric and clinical) research has led to better understanding of the biomechanics and patho-anatomy of the ankle, this has allowed
Both the incidence and severity of anklefractures in elderly patients with considerable comorbidity is rising steadily in most European countries.
The patients are predominately women with considerable comorbidities including