Diabetic Ankle Fractures: Does Management Differ? A Case-based Presentation

Fractures in diabetics pose a great management challenge as diabetes mellitus affects fracture healing at the cellular level. With a steep rise in the number of diabetics the world over, there also is a rise in the incidences of ankle fractures. Nonoperative as well as operative management of ankle fractures in diabetics is fraught with a high rate of complications. With the help of history and clinical examination, the clinician must classify the case as either a complicated or an uncomplicated diabetes presentation. Case-based discussion for both these types of diabetic ankle fractures is offered in this article, and we propose a lucid management algorithm.