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Gougoulias N, Oshba H, Dimitroulias A, et al. Ankle fractures in diabetic patients. EFORT Open Rev. 2020;5(8):457-463doi: 10.1302/2058-5241.5.200025.
Gougoulias, N., Oshba, H., Dimitroulias, A., Sakellariou, A., & Wee, A. (2020). Ankle fractures in diabetic patients. EFORT open reviews, 5(8), 457-463. https://doi.org/10.1302/2058-5241.5.200025
Gougoulias, Nikolaos, et al. "Ankle fractures in diabetic patients." EFORT open reviews vol. 5,8 (2020): 457-463. doi: https://doi.org/10.1302/2058-5241.5.200025
Gougoulias N, Oshba H, Dimitroulias A, Sakellariou A, Wee A. Ankle fractures in diabetic patients. EFORT Open Rev. 2020 Sep 10;5(8):457-463. doi: 10.1302/2058-5241.5.200025. eCollection 2020 Aug. PMID: 32953131; PMCID: PMC7484713.
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EFORT Open Rev. 2020 Sep 10;5(8):457-463. doi: 10.1302/2058-5241.5.200025. eCollection 2020 Aug.

Ankle fractures in diabetic patients.

EFORT open reviews

Nikolaos Gougoulias, Hesham Oshba, Apostolos Dimitroulias, Anthony Sakellariou, Alexander Wee

Affiliations

  1. Frimley Health NHS Foundation Trust, Frimley Park Hospital, Frimley, UK.
  2. Jacobi Medical Center - Trauma Unit - Bronx, New York, USA.

PMID: 32953131 PMCID: PMC7484713 DOI: 10.1302/2058-5241.5.200025

Abstract

Surgical complications are more common in patients with complicated diabetes (presence of inner organ failure, neuropathy).Of all patients undergoing ankle fracture fixation, approximately 13% are diabetic and 2% have complicated diabetes mellitus.Non-operative management of ankle fractures in patients with complicated diabetes results in an even higher rate of complications.Insufficient stability of ankle fractures (treated operatively, or non-operatively) can trigger Charcot neuroarthropathy, and result in bone loss, deformity, ulceration, and the need for amputation.Rigid fixation is recommended. Hindfoot arthrodesis (as primary procedure or after failed ankle fracture management) can salvage the limb in approximately 80% of patients.Early protected weight bearing can be allowed, provided rigid fixation without deformity has been achieved. Cite this article:

© 2020 The author(s).

Keywords: ankle fractures; diabetic; fixation

Conflict of interest statement

ICMJE Conflict of interest statement: NG reports accommodation and travel expenses paid for participation as faculty (member of EFAS Education Committee) in the EFAS Instructional Courses outside the

References

  1. Orthop Surg. 2013 Aug;5(3):203-8 - PubMed
  2. J Orthop Trauma. 2017 Oct;31(10):e315-e320 - PubMed
  3. J Orthop Trauma. 2015 Dec;29(12):e483-6 - PubMed
  4. EFORT Open Rev. 2018 Oct 24;3(10):568-573 - PubMed
  5. Foot Ankle Int. 2011 Feb;32(2):120-30 - PubMed
  6. J Bone Joint Surg Br. 1998 Jul;80(4):689-92 - PubMed
  7. J Bone Joint Surg Br. 2008 Jul;90(7):906-14 - PubMed
  8. Clin Orthop Relat Res. 2015 Mar;473(3):1133-9 - PubMed
  9. Foot Ankle Int. 2019 Dec;40(12):1382-1387 - PubMed
  10. J Bone Joint Surg Br. 2005 Apr;87(4):489-95 - PubMed
  11. Foot Ankle Surg. 2020 Feb;26(2):189-192 - PubMed
  12. J Am Acad Orthop Surg. 2020 Aug 15;28(16):661-670 - PubMed
  13. J Bone Joint Surg Am. 2014 May 21;96(10):832-9 - PubMed
  14. J Foot Ankle Surg. 2017 Jan - Feb;56(1):30-33 - PubMed
  15. Foot Ankle Int. 2017 Mar;38(3):248-254 - PubMed
  16. Foot Ankle Int. 2007 Jan;28(1):32-7 - PubMed
  17. Curr Rev Musculoskelet Med. 2018 Sep;11(3):445-455 - PubMed
  18. J Vasc Surg. 2009 Sep;50(3):675-82, 682.e1 - PubMed
  19. Foot Ankle Clin. 2006 Dec;11(4):849-63 - PubMed
  20. J Bone Joint Surg Am. 2010 Feb;92(2):287-95 - PubMed
  21. Zentralbl Chir. 2004 Dec;129(6):453-9 - PubMed
  22. J Bone Joint Surg Am. 2009 May;91(5):1042-9 - PubMed
  23. Foot Ankle Int. 2017 Mar;38(3):255-260 - PubMed

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