The Management of Ankle Fractures in Patients with Diabetes

The Management of Ankle Fractures in Patients with Diabetes

➤ Patients with diabetes mellitus have higher complication rates following both open and closed management of ankle fractures. ➤ Diabetic patients with neuropathy or vasculopathy have higher complication rates than both diabetic patients without these comorbidities and nondiabetic patients. ➤ Unstab...

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Veröffentlicht in:Journal of bone and joint surgery. American volume 2008, Vol.90 (7), p.1570-1578
Hauptverfasser: Wukich, Dane K., MD, Kline, Alex J., MD
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Orthopedics
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container_title Journal of bone and joint surgery. American volume
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creator Wukich, Dane K., MD
Kline, Alex J., MD
description ➤ Patients with diabetes mellitus have higher complication rates following both open and closed management of ankle fractures. ➤ Diabetic patients with neuropathy or vasculopathy have higher complication rates than both diabetic patients without these comorbidities and nondiabetic patients. ➤ Unstable ankle fractures in diabetic patients without neuropathy or vasculopathy are best treated with open reduction and internal fixation with use of standard techniques. ➤ Patients with neuropathy or vasculopathy are at increased risk for both soft-tissue and osseous complications, including delayed union and nonunion. Careful soft-tissue management as well as stable, rigid internal fixation are crucial to obtaining a good outcome. ➤ Prolonged non-weight-bearing and subsequently protected weight-bearing are recommended following both operative and nonoperative management of ankle fractures in patients with diabetes.
doi_str_mv 10.1016/S0021-9355(08)72796-6
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title The Management of Ankle Fractures in Patients with Diabetes
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