Universität zu Köln

Aigner, Rene, Lechler, Philipp, Boese, Christoph Kolja, Ruchholtz, Steffen and Frink, Michael ORCID: 0000-0002-9779-0277 (2019). Operative treatment of geriatric ankle fractures with conventional or locking plates. A retrospective case-control study. Foot Ankle Surg., 25 (6). S. 766 - 771. AMSTERDAM: ELSEVIER. ISSN 1460-9584

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Abstract

Background: The incidence of geriatric ankle fractures continues to rise due to demographic changes. While locking plates have become standard implants for injuries of other body regions, clinical studies on their use for geriatric ankle fractures are rare. Methods: Therefore, a retrospective case-control study, including 333 patients with a mean age of 73.5 years was performed. 263 patients underwent operative fixation with one- third tubular plates and 70 were treated with locking plates. Early outcomes and complication rates of locking plates as compared with conventional one- third tubular plates are described. Results: In the present study, patients treated with locking plates were older and suffered from more severe fracture patterns. In addition, these patients had more severe comorbidities. Treatment with conventional or locking plate fixation resulted in a comparable complication and revision rate. A matched pair analysis showed significantly more complications and required revision surgeries and a trend towards more implant failures in the group that underwent conventional plating. Conclusions: Therefore, we conclude that precontoured locking plates represent an appropriate treatment option for severe ankle fractures in patients suffering from relevant co-morbidities. Prospective randomized trials are warranted to prove superiority of locking plates for treatment of geriatric ankle fractures. (C) 2018 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Aigner, Rene UNSPECIFIED UNSPECIFIED UNSPECIFIED Lechler, Philipp UNSPECIFIED UNSPECIFIED UNSPECIFIED Boese, Christoph Kolja UNSPECIFIED UNSPECIFIED UNSPECIFIED Ruchholtz, Steffen UNSPECIFIED UNSPECIFIED UNSPECIFIED Frink, Michael UNSPECIFIED orcid.org/0000-0002-9779-0277 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-126089
DOI:	10.1016/j.fas.2018.10.002
Journal or Publication Title:	Foot Ankle Surg.
Volume:	25
Number:	6
Page Range:	S. 766 - 771
Date:	2019
Publisher:	ELSEVIER
Place of Publication:	AMSTERDAM
ISSN:	1460-9584
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EARLY COMPLICATIONS; SURGERY Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/12608