Surgical Considerations for Osteoporosis in Ankle Fracture Fixation

Raymond Y Hsu; Jose M Ramirez; Brad D Blankenhorn

doi:10.1016/j.ocl.2018.10.007

Surgical Considerations for Osteoporosis in Ankle Fracture Fixation

Orthop Clin North Am. 2019 Apr;50(2):245-258. doi: 10.1016/j.ocl.2018.10.007. Epub 2019 Feb 12.

Authors

Raymond Y Hsu¹, Jose M Ramirez², Brad D Blankenhorn³

Affiliations

¹ Department of Orthopedic Surgery, The Warren Alpert Medical School at Brown University, 1 Kettle Point Avenue, East Providence, RI 02915, USA. Electronic address: Raymond_Hsu@Brown.edu.
² Department of Orthopedic Surgery, The Warren Alpert Medical School at Brown University, 593 Eddy Street, Providence, RI 02903, USA.
³ Department of Orthopedic Surgery, The Warren Alpert Medical School at Brown University, 1 Kettle Point Avenue, East Providence, RI 02915, USA.

PMID: 30850082
DOI: 10.1016/j.ocl.2018.10.007

Abstract

As the geriatric population and associated ankle fractures continues to increase, fracture surgeons should be prepared to surgically manage osteoporotic ankle fractures. There are abundant challenges in management, soft tissue care, and fixation of ankle fractures with poor bone quality especially in elderly patients who have difficulty limiting weight bearing. This article summarizes several different surgical techniques that can be used to optimize outcomes of these fractures.

Keywords: Ankle fracture; Fixation; Lateral malleolus; Medial malleolus; Osteoporosis.

Publication types

Comparative Study
Review

MeSH terms

Aged
Ankle
Ankle Fractures / epidemiology
Ankle Fractures / surgery*
Ankle Joint / diagnostic imaging
Bone Plates / standards
Bone Screws / standards
Female
Fracture Fixation, Internal / instrumentation
Humans
Incidence
Male
Osteoporosis / complications
Osteoporosis / surgery*
Osteoporotic Fractures / diagnostic imaging
Osteoporotic Fractures / epidemiology
Osteoporotic Fractures / surgery*
Treatment Outcome