대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제27권2호
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  • Pages.43-48
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  • 2023
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
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골다공증성 족관절 골절

Osteoporotic Ankle Fracture

  • Hyobeom Lee (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital) ;
  • Cheolhyun Kim (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital) ;
  • Gab-Lae Kim (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital)
  • 투고 : 2023.05.05
  • 심사 : 2023.05.16
  • 발행 : 2023.06.15
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초록

The incidence of osteoporotic ankle fractures is increasing as the population ages. These fractures are becoming more common in clinical practice and require careful management because of the higher likelihood of developing complications than typical ankle fractures. The introduction of a method for measuring the ankle joint bone mineral density is a valuable tool for assessing the bone quality of the ankle joint. By evaluating the bone mineral density, healthcare professionals can better understand the extent of osteoporosis and the overall strength of the ankle joint. This information is crucial for determining the appropriate treatment for individual fractures. Several factors must be considered when deciding on the treatment for osteoporotic ankle fractures. These include the ankle joint bone mineral density, skin condition, any comorbidities the patient may have, and the patient's functional demands. Taking these factors into consideration allows healthcare providers to tailor the treatment plan to the specific needs and the circumstances of each patient. By applying the appropriate treatment, it is expected that the complications associated with osteoporotic ankle fractures can be minimized, and the prognosis for patients can be improved.

키워드

참고문헌

  1. Kang HJ, Lee JW, Kwon YM, Kim SJ.Epidemiology of ankle fractures in Korea: a nationwide population-based study. J Korean Med Sci. 2022;37:e288. doi: 10.3346/jkms.2022.37.e288.
  2. Hasselman CT, Vogt MT, Stone KL, Cauley JA, Conti SF. Foot and ankle fractures in elderly white women. Incidence and risk factors. J Bone Joint Surg Am. 2003;85:820-4. doi: 10.2106/00004623-200305000-00008.
  3. Holmberg AH, Johnell O, Nilsson PM, Nilsson J, Berglund G, Akesson K. Risk factors for fragility fracture in middle age. A prospective population-based study of 33,000 men and women. Osteoporos Int. 2006;17:1065-77. doi: 10.1007/s00198-006-0137-7. Erratum in: Osteoporos Int. 2006;17:1704.
  4. Seeley DG, Kelsey J, Jergas M, Nevitt MC. Predictors of ankle and foot fractures in older women. The Study of Osteoporotic Fractures Research Group. J Bone Miner Res. 1996;11:1347-55. doi: 10.1002/jbmr.5650110920.
  5. Stein EM, Liu XS, Nickolas TL, Cohen A, Thomas V, McMahon DJ, et al. Abnormal microarchitecture and stiffness in postmenopausal women with ankle fractures. J Clin Endocrinol Metab. 2011;96:2041-8. doi: 10.1210/jc.2011-0309.
  6. Litchfield JC. The treatment of unstable fractures of the ankle in the elderly. Injury. 1987;18:128-32. doi: 10.1016/0020-1383(87)90189-6.
  7. Beauchamp CG, Clay NR, Thexton PW. Displaced ankle fractures in patients over 50 years of age. J Bone Joint Surg Br. 1983;65:329-32. doi: 10.1302/0301-620X.65B3.6404905.
  8. Greenfield DM, Eastell R. Risk factors for ankle fracture. Osteoporos Int. 2001;12:97-103. doi: 10.1007/s001980170140.
  9. Biver E, Durosier C, Chevalley T, Herrmann FR, Ferrari S, Rizzoli R. Prior ankle fractures in postmenopausal women are associated with low areal bone mineral density and bone microstructure alterations. Osteoporos Int. 2015;26:2147-55. doi: 10.1007/s00198-015-3119-9.
  10. Honkanen R, Kroger H, Tuppurainen M, Alhava E, Saarikoski S. Fractures and low axial bone density in perimenopausal women. J Clin Epidemiol. 1995;48:881-8. doi: 10.1016/0895-4356(94)00220-k.
  11. So E, Rushing CJ, Simon JE, Goss DA Jr, Prissel MA, Berlet GC. Association between bone mineral density and elderly ankle fractures: a systematic review and meta-analysis. J Foot Ankle Surg. 2020;59:1049-57. doi: 10.1053/j.jfas.2020.03.012.
  12. Sung KH, Choi Y, Cho GH, Chung CY, Park MS, Lee KM. Peripheral DXA measurement around ankle joint to diagnose osteoporosis as assessed by central DXA measurement. Skeletal Radiol. 2018;47:1111-7. doi: 10.1007/s00256-018-2876-x.
  13. Rachner TD, Khosla S, Hofbauer LC. Osteoporosis: now and the future. Lancet. 2011;377:1276-87. doi: 10.1016/S0140-6736(10)62349-5.
  14. Healthcare Bigdata Hub [Internet]. Wonju: Health Insurance Review & Assessment Service [cited 2022 Apr 20]. Available from: http://opendata.hira.or.kr.
  15. Hadji P, Klein S, Gothe H, Haussler B, Kless T, Schmidt T, et al.The epidemiology of osteoporosis--Bone Evaluation Study (BEST): an analysis of routine health insurance data. Dtsch Arztebl Int. 2013;110:52-7. doi: 10.3238/arztebl.2013.0052.
  16. Juto H, Nilsson H, Morberg P. Epidemiology of adult ankle fractures: 1756 cases identified in Norrbotten County during 2009-2013 and classified according to AO/OTA. BMC Musculoskelet Disord. 2018;19:441. doi: 10.1186/s12891-018-2326-x.
  17. Rammelt S. Management of ankle fractures in the elderly. EFORT Open Rev. 2017;1:239-46. doi: 10.1302/2058-5241.1.000023.
  18. Elsoe R, Ostgaard SE, Larsen P. Population-based epidemiology of 9767 ankle fractures. Foot Ankle Surg. 2018;24:34-9. doi: 10.1016/j.fas.2016.11.002.
  19. Koval KJ, Lurie J, Zhou W, Sparks MB, Cantu RV, Sporer SM, et al. Ankle fractures in the elderly: what you get depends on where you live and who you see. J Orthop Trauma. 2005;19:635-9. doi: 10.1097/01.bot.0000177105.53708.a9.
  20. Thur CK, Edgren G, Jansson KA, Wretenberg P.Epidemiology of adult ankle fractures in Sweden between 1987 and 2004: a populationbased study of 91,410 Swedish inpatients. Acta Orthop. 2012;83:276-81. doi: 10.3109/17453674.2012.672091.
  21. Lee KM, Chung CY, Kwon SS, Won SH, Lee SY, Chung MK, et al. Ankle fractures have features of an osteoporotic fracture. Osteoporos Int. 2013;24:2819-25. doi: 10.1007/s00198-013-2394-6.
  22. Ingle BM, Eastell R. Site-specific bone measurements in patients with ankle fracture. Osteoporos Int. 2002;13:342-7. doi: 10.1007/s001980200036.
  23. Yoo JH, Moon SH, Ha YC, Lee DY, Gong HS, Park SY, et al. Osteoporotic fracture: 2015 position statement of the Korean Society for Bone and Mineral Research. J Bone Metab. 2015;22:175-81. doi: 10.11005/jbm.2015.22.4.175.
  24. Lee SY, Kwon SS, Kim HS, Yoo JH, Kim J, Kim JY, et al. Reliability and validity of lower extremity computed tomography as a screening tool for osteoporosis. Osteoporos Int. 2015;26:1387-94. doi: 10.1007/s00198-014-3013-x.
  25. So E, Rushing C, Prissel MA, Berlet GC. The role of secondary imaging techniques for assessing bone mineral density in elderly ankle fractures. J Foot Ankle Surg. 2022;61:149-56. doi: 10.1053/j.jfas.2021.06.016.
  26. poorly controlled diabetes increase the rate of surgical site infection after foot and ankle surgery. J Bone Joint Surg Am. 2014;96:832-9. doi: 10.2106/JBJS.L.01302.
  27. Pearce O, Al-Hourani K, Kelly M.Ankle fractures in the elderly: current concepts. Injury. 2020;51:2740-7. doi: 10.1016/j.injury.2020.10.093.
  28. Rammelt S, Zwipp H, Mittlmeier T. [Operative treatment of pronation fracture--dislocations of the ankle]. Oper Orthop Traumatol. 2013;25:273-91; quiz 291-3. German. doi: 10.1007/s00064-013-0235-6.
  29. Weber M, Burmeister H, Flueckiger G, Krause FG. The use of weight-bearing radiographs to assess the stability of supination-external rotation fractures of the ankle. Arch Orthop Trauma Surg. 2010;130:693-8. doi: 10.1007/s00402-010-1051-1.
  30. Rammelt S, Heim D, Hofbauer LC, Grass R, Zwipp H. [Problems and controversies in the treatment of ankle fractures]. Unfallchirurg. 2011;114:847-60. German. doi: 10.1007/s00113-011-1978-x.
  31. Willett K, Keene DJ, Mistry D, Nam J, Tutton E, Handley R, et al. Close contact casting vs surgery for initial treatment of unstable ankle fractures in older adults: a randomized clinical trial. JAMA. 2016;316:1455-63. doi: 10.1001/jama.2016.14719.
  32. Kim T, Ayturk UM, Haskell A, Miclau T, Puttlitz CM. Fixation of osteoporotic distal fibula fractures: a biomechanical comparison of locking versus conventional plates. J Foot Ankle Surg. 2007;46:2-6. doi: 10.1053/j.jfas.2006.09.009.
  33. Minihane KP, Lee C, Ahn C, Zhang LQ, Merk BR. Comparison of lateral locking plate and antiglide plate for fixation of distal fibular fractures in osteoporotic bone: a biomechanical study. J Orthop Trauma. 2006;20:562-6. doi: 10.1097/01.bot.0000245684.96775.82.
  34. Weber M, Krause F. Peroneal tendon lesions caused by antiglide plates used for fixation of lateral malleolar fractures: the effect of plate and screw position. Foot Ankle Int. 2005;26:281-5. doi: 10.1177/107110070502600403.
  35. Pritchett JW.Rush rods versus plate osteosyntheses for unstable ankle fractures in the elderly. Orthop Rev. 1993;22:691-6.
  36. Rammelt S, Obruba P. An update on the evaluation and treatment of syndesmotic injuries. Eur J Trauma Emerg Surg. 2015;41:601-14. doi: 10.1007/s00068-014-0466-8.
  37. Koval KJ, Petraco DM, Kummer FJ, Bharam S. A new technique for complex fibula fracture fixation in the elderly: a clinical and biomechanical evaluation. J Orthop Trauma. 1997;11:28-33. doi: 10.1097/00005131-199701000-00007.
  38. Panchbhavi VK, Mody MG, Mason WT. Combination of hook plate and tibial pro-fibular screw fixation of osteoporotic fractures: a clinical evaluation of operative strategy. Foot Ankle Int. 2005;26:510-5. doi: 10.1177/107110070502600702.
  39. Panchbhavi VK, Vallurupalli S, Morris R. Comparison of augmentation methods for internal fixation of osteoporotic ankle fractures. Foot Ankle Int. 2009;30:696-703. doi: 10.3113/FAI.2009.0696.
  40. Lemon M, Somayaji HS, Khaleel A, Elliott DS. Fragility fractures of the ankle. J Bone Joint Surg Br. 2005;87:809-13. doi: 10.1302/0301-620X.87B6.16146.
  41. Amirfeyz R, Bacon A, Ling J, Blom A, Hepple S, Winson I, et al. Fixation of ankle fragility fractures by tibiotalocalcaneal nail. Arch Orthop Trauma Surg. 2008;128:423-8. doi: 10.1007/s00402-008-0584-z.
  42. Georgiannos D, Lampridis V, Bisbinas I. Fragility fractures of the ankle in the elderly: open reduction and internal fixation versus tibio-talo-calcaneal nailing: short-term results of a prospective randomized-controlled study. Injury. 2017;48:519-24. doi: 10.1016/j.injury.2016.11.017.