Neuropathic ankle fractures

Management of Osteoporotic and Neuropathic Ankle Fractures in the Elderly

PURPOSE OF REVIEW Treatment of osteoporotic and neuropathic ankle fractures in the elderly is challenging. The purpose of this paper is to review recent publications on this topic and to identify the optimal treatment for these fractures. RECENT FINDINGS Treatment consists of a variety of conservative or operative options all with advantages and disadvantages as described in this review. Litt...

Ankle Fractures

Reliability of Postoperative Radiographies in Ankle Fractures

Background: The accuracy of reduction of ankle fractures using postoperative plain radiographies (x-ray) remainswidely controversial. Some authors have demonstrated that postoperative computed tomography (CT) scan can beuseful for these patients. In current study, the efficacy of x-rays after fixation of ankle fractures was investigated basedon the CT scan findings.Metho...

Management of ankle fractures.

Ankle fractures are a common injury across all age groups. Management may be operative or nonoperative, depending on the severity of the injury and the patient's overall health and functional status. Although imaging defines the nature of the fracture, a careful history and physical also helps determine the patient's plan of care. Initial management is focused on adequate alignment and safe imm...

Ankle fractures in diabetic neuropathic arthropathy: can tibiotalar arthrodesis salvage the limb?

Between 2000 and 2006 we performed salvage tibiotalar arthrodesis in 17 diabetic patients (17 ankles) with grossly unstable ankles caused by bimalleolar fractures complicated by Charcot neuro-arthropathy. There were ten women and seven men with a mean age of 61.6 years (57 to 69). A crossed-screw technique was used. Two screws were used in eight patients and three screws in nine. Additional gra...