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Revista de la Asociación Argentina de Ortopedia y Traumatología

On-line version ISSN 1852-7434


ARZAC ULLA, Ignacio. Fracturas de tobillo en ancianos y personas de edad muy avanzada. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2019, vol.84, n.2, pp.129-135. ISSN 1852-7434.

Introduction: The World Health Organization defines an elderly person as anyone who is between 75 and 90 years of age, while those older are called old people. The objective of this study was to discuss postoperative results of ankle fractures treated with MIPO and ORIF techniques, achieving a functional and biological reduction in patients older than 75 years. Methods: Between 2013 and 2017, 13 patients beyond the age of 75 with unstable ankle fractures were evaluated. Six were treated with MIPO technique and 7 with ORIF. All patients were evaluated at 90 days and at 18 months postoperatively using the AOFAS score. Results: Mean age was 79.7 years (range 75-95). Overall postoperative AOFAS score was 97 at day 90 and 96 at 18 months. No losses of reduction or shaft defects were observed. Conclusion: Our study indicates that biological and functional reduction in patients older than 75 years is the ideal treatment for ankle fractures.

Keywords : Ankle fracture; Elderly; Functional reduction; Biological reduction.

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