Fractures de la cheville chez le patient âgé [Ankle fractures in the elderly patient].
Détails
ID Serval
serval:BIB_BBA9586A0A9D
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Fractures de la cheville chez le patient âgé [Ankle fractures in the elderly patient].
Périodique
Revue Médicale Suisse
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
2014
Volume
10
Numéro
455
Pages
2420-2423
Langue
français
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
Ankle fractures in adults are usually managed by open reduction internal fixation. In elderly patients the surgical dilemma relates to bone quality. Osteoporosis is the enemy of internal fixation, and secure purchase of screws in osteopenic bone may be difficult to achieve. Insufficient screw purchase may lead to loss of reduction, wound breakdown, and infection. Postoperative management after osteosynthesis usually requires an extended period of restricted weight bearing. However, this is not feasible in older patients as a result of their lack of strength in the upper extremities and frequent comorbidities. Therefore, augmen- ted methods of internal fixation and specific surgical techniques have been developed using metal and bone cement. This permits this fragile population to begin early full weight bearing in a removable brace.
Mots-clé
Aged, Ankle Injuries/surgery, Fracture Fixation, Internal, Fractures, Bone/surgery, Humans
Pubmed
Création de la notice
16/02/2015 15:57
Dernière modification de la notice
20/08/2019 15:29