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Der Unfallchirurg

, Volume 120, Issue 11, pp 979–992 | Cite as

Frakturen des oberen Sprunggelenks beim älteren Patienten

  • Kajetan Klos
  • Paul Simons
  • Thomas Mückley
  • Bernhard Karich
  • Thorsten Randt
  • Matthias KnobeEmail author
CME

Zusammenfassung

Die Anzahl an geriatrischen Patienten mit Frakturen steigt. Ziel der Behandlung von Sprunggelenkfrakturen in diesem Patientengut ist es, eine möglichst uneingeschränkte Autonomie und Lebensqualität der Patienten sicherzustellen. Dazu gilt es, die Komplikationen und Einschränkungen nach einer Sprunggelenkfraktur zu minimieren. Entscheidend für den weiteren Verlauf ist die initiale Behandlung. Die Ergebnisse werden zwar wesentlich durch das Weichteilmanagement, die Reposition und die sichere Osteosynthese bestimmt, aber erst die Optimierung des Behandlungsprozesses im Sinne des geriatrischen Komanagements sowie die Sicherstellung der postoperativen Mobilisation und der weiteren Versorgung führen zu einem zufriedenstellenden Ergebnis. Hier liegen die Vorteile einer interdisziplinären Zusammenarbeit von Unfallchirurgen und Geriatern auf der Hand.

Schlüsselwörter

Osteosynthese Osteoporose Minimalinvasive Chirurgie Frakturfixierung Geriatrisches Assessment 

Fractures of the ankle joint in elderly patients

Abstract

The number of ankle fractures in elderly patients is increasing. The aim of treatment of ankle fractures in the elderly is to guarantee a possible unlimited autonomy and quality of life for patients. This is achieved by minimization of the complications and impairments after ankle joint fractures. Decisive for the further course is the initial treatment. The results are essentially determined by the soft tissue management, reduction and stable osteosynthesis; however, an orthogeriatric co-management with the implementation of treatment paths and standard operating procedures is recommended. The advantages of an interdisciplinary cooperation of trauma surgeons and geriatricians are obvious in this situation.

Keywords

Osteosynthesis Osteoporosis Minimally invasive surgery Fracture fixation Geriatric assessment 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

K. Klos, P. Simons, T. Mückley, B. Karich, T. Randt und M. Knobe geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH 2017

Authors and Affiliations

  • Kajetan Klos
    • 1
  • Paul Simons
    • 1
  • Thomas Mückley
    • 2
  • Bernhard Karich
    • 3
  • Thorsten Randt
    • 4
  • Matthias Knobe
    • 5
    Email author
  1. 1.Klinik für Fuß- und SprunggelenkchirurgieKatholisches Klinikum MainzMainzDeutschland
  2. 2.Klinik für Unfallchirurgie, Orthopädie und HandchirurgieHELIOS Klinikum ErfurtErfurtDeutschland
  3. 3.Klinik für Unfallchirurgie und Physikalische MedizinHeinrich-Braun-KlinikumZwickauDeutschland
  4. 4.Chirurgische GemeinschaftspraxisChirurgie Bad-SchwartauBad SchwartauDeutschland
  5. 5.Klinik für Unfall- und WiederherstellungschirurgieUniklinik RWTH AachenAachenDeutschland

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