Die Inzidenz von Sprunggelenksfrakturen zeigt zwei Altersgipfel. Der zweite liegt im Bereich von 65–84 Jahren. Erleiden Patienten dieses Alters eine Sprunggelenksfraktur, sollte in die Therapieentscheidung neben den wichtigen Stabilitätskriterien der Fraktur auch der Aktivitätsgrad der Betroffenen einfließen. Ziele der Behandlung sind vor allem der Erhalt der Lebensqualität und die Rückkehr in die gewohnte Umgebung.
This is a preview of subscription content, log in via an institution to check access.
Literatur
Salai, M., et al., The epidemic of ankle fractures in the elderly—is surgical treatment warranted? Arch Orthop Trauma Surg, 2000. 120(9): p. 511–3.
Koval, K.J., et al., Does a positive ankle stress test indicate the need for operative treatment after lateral malleolus fracture? A preliminary report. J Orthop Trauma, 2007. 21(7): p. 449–55.
Hoogervorst, P., C.V. Bergen, and M. Van den Bekerom, Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly. Curr Geriatr Rep, 2017. 6(1): p. 9–14.
Seidel, A. and F. Krause, Stabilität der lateralen Malleolarfrakturen Typ Supination-Außenrotation (SER) — Grenzen der konservativen Behandlung. Sports Orthopaedics and Traumatology, 2018. 34(3): p. 295–301.
Horisberger, M., V. Valderrabano, and B. Hintermann, Posttraumatic ankle osteoarthritis after ankle-related fractures. J Orthop Trauma, 2009. 23(1): p. 60–7.
Beauchamp, C.G., N.R. Clay, and P.W. Thexton, Displaced ankle fractures in patients over 50 years of age. J Bone Joint Surg Br, 1983. 65(3): p. 329–32.
Muller M, A.M., Schneider R, Willenegger H., Manual of Internal Fixation. Techniques Recommended by the AO Group. 1979, New York: Springer.
Lauge-Hansen, N., Fractures of the ankle. II. Combined experimental-surgical and experimental-roentgenologic investigations. Arch Surg, 1950. 60(5): p. 957–85.
Zwipp, H. and M. Amlang, [Treatment of fractures of the ankle in the elderly]. Orthopade, 2014. 43(4): p. 332–8.
Gill, J.B., et al., Comparison of manual and gravity stress radiographs for the evaluation of supination-external rotation fibular fractures. J Bone Joint Surg Am, 2007. 89(5): p. 994–9.
Dawe, E.J., et al., The effect of different methods of stability assessment on fixation rate and complications in supination external rotation (SER) 2/4 ankle fractures. Foot Ankle Surg, 2015. 21(2): p. 86–90.
Seidel, A., F. Krause, and M. Weber, Weightbearing vs Gravity Stress Radiographs for Stability Evaluation of Supination-External Rotation Fractures of the Ankle. Foot Ankle Int, 2017. 38(7): p. 736–744.
McKenna, P.B., K. O’Shea, and T. Burke, Less is more: lag screw only fixation of lateral malleolar fractures. Int Orthop, 2007. 31(4): p. 497–502.
Pires, R.E., et al., Minimally invasive percutaneous plate osteosynthesis for ankle fractures: a prospective observational cohort study. Eur J Orthop Surg Traumatol, 2014. 24(7): p. 1297–303.
Hanhisuanto, S., et al., The functional outcome and quality of life after treatment of isolated medial malleolar fractures. Foot Ankle Surg, 2017. 23(4): p. 225–229.
Donken, C.C., et al., The outcome at 20 years of conservatively treated ‚isolated‘ posterior malleolar fractures of the ankle: a case series. J Bone Joint Surg Br, 2011. 93(12): p. 1621–5.
Schray, D., et al., Outcome after surgical treatment of fragility ankle fractures in a certified orthogeriatric trauma center. Injury, 2018. 49(8): p. 1451–1457.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Seidel, A. Sprunggelenkfrakturen im Alter — wann konservativ, wann operativ behandeln?. Orthop. Rheuma 22, 40–43 (2019). https://doi.org/10.1007/s15002-019-1528-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s15002-019-1528-4