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. 2023 Mar 16;11(3).
doi: 10.2106/JBJS.RVW.22.00147. eCollection 2023 Mar 1.

Ankle Fractures in Diabetic Patients: A Critical Analysis

Ellen M Goldberg  1 , William S Polachek  2 , Kelly Hynes  2
Affiliations

Ankle Fractures in Diabetic Patients: A Critical Analysis

Ellen M Goldberg et al. JBJS Rev. .

Abstract

»: Patients with diabetes are at higher risk for complications after surgical fixation of unstable fractures due to impaired neurovascular functioning and wound-healing capabilities.

»: Patients with uncontrolled diabetes have higher rates of complications when compared with patients with controlled diabetes.

»: Despite higher rates of complications, operative fixation of unstable ankle fractures in diabetic patients reliably leads to a functional lower extremity with an overall lower rate of complications than nonoperative management.

»: Operatively and nonoperatively managed ankle fractures in patients with diabetes should remain non-weight-bearing for an extended period of time.

»: Discussion of risk of poor outcomes including deep infection, loss of reduction, return to the operating room, and risk of arthrodesis or amputation should be explicitly discussed with patients and families when managing unstable ankle fractures in diabetic patients.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A923).

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