Ankle fractures of the geriatric patient: a narrative review

& BULL; The present narrative review provides a summary of current concepts for the treatment of ankle fractures in elderly patients. & BULL; Despite a high complication rate, open reduction and internal fixation is the gold standard for operative care. However, individual patient-based treatment decision considering the soft-tissue status, the fracture pattern, as well as the patient's mobility and comorbidities is mandatory to achieve sufficient patient outcomes. & BULL; Due to high complication rates after surgery in the past, techniques such as fibular nails or minimal invasive techniques should be considered.

Automated summary

This narrative review summarizes the current concepts for the treatment of ankle fractures in elderly patients. Open reduction and internal fixation is considered as the gold standard for operative care, though individualized treatment decisions based on factors such as soft-tissue status, fracture pattern, mobility, and comorbidities are essential for optimal patient outcomes. Techniques like fibular nails or minimally invasive approaches should be considered to address the high complication rates post-surgery.