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

Citation
M. Salai et al., The epidemic of ankle fractures in the elderly - is surgical treatment warranted?, ARCH ORTHOP, 120(9), 2000, pp. 511-513
Citations number
13
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
ISSN journal
0936-8051 → ACNP
Volume
120
Issue
9
Year of publication
2000
Pages
511 - 513
Database
ISI
SICI code
0936-8051(200008)120:9<511:TEOAFI>2.0.ZU;2-G
Abstract
Ankle fractures in the elderly are extremely common (up to 184 fractures pe r 100,000 persons per year, and of these approximately 20%-30% occur in the elderly). The medical literature contains no research that has investigate d ankle fractures in the elderly. A prospective, randomised study was condu cted of 84 patients with displaced ankle fractures, who were over the age o f 65 years and were assigned to operative or conservative treatment after c losed reduction. The results of treatment assessed according to the America n 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) i n the operated group. The costs of treatment were accordingly higher. These results call for consideration of a non-operative approach to the treatmen t of well-reduced ankle fractures in the elderly. Increased efforts should be invested in the prevention of these common fractures.