How To Treat Ankle Fractures In Patients With Diabetes

Author(s): 
By Alan R. Catanzariti, DPM, Robert W. Mendicino, DPM, and Travis L. Sautter, DPM
This outcome data included assessments of ankle fracture type and severity, time to full weightbearing and fracture union, and the incidence of nonunion and wound problems. There was also no statistical difference between the demographic and outcome data of patients with type 1 diabetes and the results among those with type 2 diabetes. Overall, there were no major complications of Charcot arthropathy, limb loss or death in this study population. This study demonstrates a low complication rate for the surgical treatment of diabetic ankle fractures relative to the existing literature. Final Words An ankle fracture in a patient with longstanding diabetes mellitus can be a calamity for the patient and the physician who treats this fracture as a routine injury. Therefore, one should manage these patients with special precautions. In order to help achieve the best outcomes, it is essential to consider key factors that may predispose patients with diabetic neuropathy to complications resulting from an ankle fracture. Dr. Catanzariti is the Director of the Residency Training Program within the Division of Foot and Ankle Surgery at the Western Pennsylvania Hospital in Pittsburgh. He is a Fellow of the American College of Foot and Ankle Surgeons. Dr. Mendicino is Chief of the Division of Foot and Ankle Surgery at the Western Pennsylvania Hospital in Pittsburgh. He is a Fellow and Past President of the American College of Foot and Ankle Surgeons, and is a Clinical Professor of Surgery at the Western Campus of the Temple University School of Podiatric Medicine. Dr. Sautter is a Chief Resident of Foot and Ankle Surgery at Western Pennsylvania Hospital in Pittsburgh.
 

 

References:

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