Scientific article

Fractures de la cheville chez le patient âgé

Published inRevue médicale suisse, vol. 10, no. 455, p. 2420-2423
Publication date2014

Ankle fractures in adults are usually managed by open reduction internal fixation. In elderly patients the surgical dilemma relates to bone quality. Osteoporosis is the enemy of internal fixation, and secure purchase of screws in osteopenic bone may be difficult to achieve. Insufficient screw purchase may lead to loss of reduction, wound breakdown, and infection. Postoperative management after osteosynthesis usually requires an extended period of restricted weight bearing. However, this is not feasible in older patients as a result of their lack of strength in the upper extremities and frequent comorbidities. Therefore, augmen- ted methods of internal fixation and specific surgical techniques have been developed using metal and bone cement. This permits this fragile population to begin early full weight bearing in a removable brace.

Citation (ISO format)
CREVOISIER, Xavier et al. Fractures de la cheville chez le patient âgé. In: Revue médicale suisse, 2014, vol. 10, n° 455, p. 2420–2423.
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Article (Published version)
ISSN of the journal1660-9379

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