Ankle fractures in elderly patients

Sandro Giannini, Eugenio Chiarello, Valentina Persiani, Deianira Luciani, Matteo Cadossi, Giuseppe Tedesco

Research output: Contribution to journalArticlepeer-review


The incidence of ankle fractures (AFs) in the elderly is rising due to the increase in life expectancy. Rather than directly related to osteoporosis, AFs are a predictor of osteoporotic fractures in other sites. In women AFs are associated with weight and BMI. AFs are difficult to categorize; therapeutic options are non-operative treatment with plaster casts or surgical treatment with Kirschner's wires, plates and screws. The choice of treatment should be based not only on the fracture type but also on the local and general comorbidity of the patient. Considering the new evidence that postmenopausal women with AFs have disrupted microarchitecture and decreased stiffness of the bone compared with women with no fracture history, in our opinion low-trauma AFs should be considered in a similar way to the other classical osteoporotic fractures.

Original languageEnglish
JournalAging clinical and experimental research
Issue number1 SUPPL.
Publication statusPublished - Oct 2013


  • Ankle fractures
  • Conservative treatment
  • Elderly patients
  • Osteoporosis
  • Surgical treatment

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology


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