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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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Department of Traumatology and Reconstructive Surgery including Department of Orthopedic Surgery, Charite Universitätsmedizin Berlin, Berlin, Germany
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with bi- or trimalleolar fracture have the highest incidence of open ankle fractures. 29 Due to the predominance in elderly women, some authors claim that trimalleolar fractures should be regarded as fragility fractures. 28 There also exists a
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classification (Fragility Fractures of the Pelvis) especially integrates osteoporotic insufficiency fractures into the categorization of the injury. While the FFP classification provides some advantages in the elderly, an evaluation of the benefit is under
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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für Osteosynthesefragen/Orthopaedic Trauma Association ( AO/OTA) modified Tile (AO/OTA) classification 13 and Young–Burgess (YB) classification, 14 for high-energy fractures, and the Fragility Fracture of Pelvic ring (FFP) classification
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hypophosphatasia 13 and osteopetrosis. 14 Bisphosphonates Bisphosphonates are widely used to prevent osteoporotic fragility fractures. The clinical effect, which is documented with level I evidence, 1 is based on the inhibition of osteoclasts
School of Medicine, Universidad de La Laguna, Tenerife, Spain
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School of Medicine, Universidad de La Laguna, Tenerife, Spain
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University of Basel, Basel, Switzerland
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School of Medicine, Universidad de Sevilla, Sevilla, Spain
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with a degeneration related to aging that affects the psychological, physical and social sphere. Therefore, the concept of fragility fracture implies not only a deterioration of the bone structure (osteoporosis) and soft tissues but also the physical
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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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: 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
Department of Orthopaedics and Trauma Surgery, Klinik Gut, St. Moritz, Switzerland
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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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. introducing a fragility fractures classification ( 15 ). This classification has been widely accepted and led to concept of conservative or surgical therapy ( 15 ). As the acetabulum is a part of the pelvis and its stability is dependent on the pelvic ring
