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2020, Number 1

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Revista Cubana de Ortopedia y Traumatología 2020; 34 (1)

Ankle fracture treatment in aged adults

Tabares NHI, Díaz QJM, Tabares SH, Morales SR

Language: Spanish
References: 30
Page: 1-17
PDF size: 535.82 Kb.


ABSTRACT

Introduction: The ankle fracture treatment is important in the recovery of mobility and independence of geriatric patients.
Objective: To evaluate the results after one year of surgical treatment by reduction and fixation of unstable fractures in patients older than 65 years.
Methods: A descriptive and prospective study was carried out in patients older than 65 years, treated from January 2017 to December 2018 due to displaced ankle fracture, at General Calixto García Íñiguez University Hospital and the Research Center for Health, Longevity and Aging. These patients were assessed a year later.
Results: Out of a total of 31 patients, 6 men and 25 women with a mean age of 73.4 ± 3.5 years, 12 had cognitive impairment, 18 were on anticoagulant therapy and 14 were taking more than four medications daily. Groups with 3 and 4 points of Charlson index predominated, the majority were located in ASA III of anesthetic risk and Dannis-Weber type C fractures, 29 fractures were closed. Complications were rare and 27 out of 31 patients ranked as excellent or good according to the AOFAS scale, 3 ± 2 on the visual pain scale, 86% of performing activities of their daily life.
Conclusions: The result of the surgical treatment of ankle fractures in people older than 65 years was good and with a low incidence of complications that may be related to previous morbid conditions.


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