title: [Are fractures of the upper ankle joint to be treated conservatively? (author's transl)].
abstract: By means of 796 fractures of the upper ankle-joint, the treatment and results of the therapy according to the conservative-viewpoints are going to be discussed. Comparing the results after operative treatment, conservative therapy today is only justified with fractures of th type A and B under the presumption that there is no subluxation of the talus of the latter mentioned. Bimalleolar fractures of the type A can also be treated conservatively with good results if the inner-ankle fracture has not resulted in the destruction of the ankle-fork. All other fractures should have open reduction and internal fixation. Special attention shall be paid to the reconstruction of the complex fibula-syndesmosis.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016512:Ankle Injuries; D002370:Casts, Surgical; D002648:Child; D005360:Fibula / Q000293:injuries; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008023:Ligaments, Articular / Q000293:injuries; D008875:Middle Aged
vernacular_title: Ist die Behandlung der Knöchelfrakturen nach konservativen Gesichtspunkten Uberholt? Spätergebnisse der konservativen Therapie.