The epidemic of ankle fractures in the elderly--is surgical treatment warranted?

Abstract:

:Ankle fractures in the elderly are extremely common (up to 184 fractures per 100,000 persons per year, and of these approximately 20%-30% occur in the elderly). The medical literature contains no research that has investigated ankle fractures in the elderly. A prospective, randomised study was conducted of 84 patients with displaced ankle fractures, who were over the age of 65 years and were assigned to operative or conservative treatment after closed reduction. The results of treatment assessed according to the American Orthopedic Foot and Ankle Society (AOFAS) Score showed a mean of 91.37 +/- 8.96 in the non-operated group compared with 75.2 +/- 14.38 (P = 0.001) in the operated group. The costs of treatment were accordingly higher. These results call for consideration of a non-operative approach to the treatment of well-reduced ankle fractures in the elderly. Increased efforts should be invested in the prevention of these common fractures.

authors

Salai M,Dudkiewicz I,Novikov I,Amit Y,Chechick A

doi

10.1007/s004020000172

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

511-3

issue

9

eissn

0936-8051

issn

1434-3916

journal_volume

120

pub_type

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