Increasing number and incidence of low-trauma ankle fractures in elderly people: finnish statistics during 1970–2000 and projections for the future

Kannus, Pekka; Palvanen, Mika; Niemi, Seppo; Parkkari, Jari; J�rvinen, Marrku

doi:10.1016/s8756-3282(02)00832-3

Cited by 308 publications

(196 citation statements)

References 21 publications

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“…The incidence of ankle fractures has increased up to 300 % in the last 30 years, especially in the elderly population [3,16]. With increasing rates of comorbidities a concomitant rise in fragility fractures can be expected, which in turn may increase the risk of complications.…”

Section: Introductionmentioning

confidence: 99%

The timing of ankle fracture surgery and the effect on infectious complications; A case series and systematic review of the literature

Schepers

Vries

Lieshout

et al. 2013

International Orthopaedics (SICOT)

130

100

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Purpose Information about the influence of delayed surgery on infectious wound complications is ambiguous. A clinical audit was performed to test the hypothesis that early surgery lowers the rate of infectious wound complications. Secondly we looked at the influence of surgical delay and complications on patient reported functional outcome. Methods All consecutive, closed distal fibular fractures treated surgically with a plate were included and retrospectively analysed for the delay in operation and wound complications. In a second cohort of patients with a AO-Weber Btype ankle fracture outcome was measured using the OlerudMolander ankle score (OMAS), the American Orthopaedic Foot and Ankle Society score (AOFAS) and a visual analog score (VAS) for overall satisfaction. Results Patients treated within one day experienced no wound complications (zero out of 60), whereas in the delayed group 11 % (16/145) did (p=0.004). A similar significant difference was found for the patients treated within one week (2/98) versus after one week (14/107). A systematic review of the literature showed a difference in wound complications of 3.6 % (early) versus 12.9 % (late) (p<0.0001). After 43 months, the median AOFAS was 11.5 points lower in the complication group, the OMAS 10 points, and the VAS 0.5 points, with all differences being statistically significant. Conclusions Every effort should be made to operate on closed ankle fractures as soon as reasonably possible. A delay in surgery is associated with a significant rise in infectious wound complications, which significantly lowers outcome and patient satisfaction. These fractures should preferably be treated within the first day.

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Section: Introductionmentioning

confidence: 99%

The timing of ankle fracture surgery and the effect on infectious complications; A case series and systematic review of the literature

Schepers

Vries

Lieshout

et al. 2013

International Orthopaedics (SICOT)

130

100

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“…Although the incidence of primary OA in the ankle joint is thought to be lower than in the knee and hip joint, recent studies report a high and increasing incidence of post traumatic, secondary OA in the ankle joint [2][3][4][5]. OA is characterised by structural changes of the entire joint organ, such as loss of articular cartilage, subchondral bone sclerosis and cysts, osteophyte formation, and synovitis [6].…”

Section: Introductionmentioning

confidence: 99%

Muscular atrophy of the lower leg in unilateral post traumatic osteoarthritis of the ankle joint

Wiewiorski

Dopke

Steiger

et al. 2012

International Orthopaedics (SICOT)

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Purpose Muscle atrophy is a commonly encountered problem in osteoarthritis (OA). The aim of this study was to estimate the amount of muscle atrophy and fatty degeneration of the lower leg muscles related to ankle OA by magnetic resonance imaging (MRI). Methods Twenty-one patients with unilateral ankle OA were included in this cohort study. Calf circumference of the affected and healthy lower leg was documented. The degree of OA was classified in conventional radiographs. The cross-sectional areas and fatty degeneration of the muscles of the lower leg were measured in bilateral MRI.

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“…23,24 The majority of these require operative treatment. Anatomic reduction and stable fixation accompanied by soft tissue preservation can lead to an optimum outcome.…”

Section: Discussionmentioning

confidence: 99%

Mathematical approximation of fibular malleolus curvature

Halužan

Ehrenfreund

Simek

et al. 2013

Injury

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Increasing number and incidence of low-trauma ankle fractures in elderly people: finnish statistics during 1970–2000 and projections for the future

Cited by 308 publications

References 21 publications

The timing of ankle fracture surgery and the effect on infectious complications; A case series and systematic review of the literature

The timing of ankle fracture surgery and the effect on infectious complications; A case series and systematic review of the literature

Muscular atrophy of the lower leg in unilateral post traumatic osteoarthritis of the ankle joint

Mathematical approximation of fibular malleolus curvature

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