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Clinical Outcome of Bimalleolar Ankle Fracture in Patients with Diabetes Mellitus
CATEGORY: Trauma; Ankle INTRODUCTION/PURPOSE: Diabetes is a risk factor of postoperative complication for fracture surgery. The purpose of this study was to evaluate the clinical outcome of bimalleolar ankle fracture in patients with diabetes mellitus. METHODS: Twenty two patients (an average age; 6...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8696399/ http://dx.doi.org/10.1177/2473011420S00320 |
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author | Lee, Hong S. Young, Kiwon Park, Tae-Hoon Lee, Hong Seop |
author_facet | Lee, Hong S. Young, Kiwon Park, Tae-Hoon Lee, Hong Seop |
author_sort | Lee, Hong S. |
collection | PubMed |
description | CATEGORY: Trauma; Ankle INTRODUCTION/PURPOSE: Diabetes is a risk factor of postoperative complication for fracture surgery. The purpose of this study was to evaluate the clinical outcome of bimalleolar ankle fracture in patients with diabetes mellitus. METHODS: Twenty two patients (an average age; 69.3 years, an average HbA1C; 7.6%) with bi-malleolar ankle Fracture received open reduction and internal fixation between March 2013 and January 2019. Complications related to surgery, progression to Charcot arthropathy, presence of nonunion were used for outcome analysis. The patients were followed for an average of 12.1 months. RESULTS: The nonunion rate was 4.5% (1 case over 22 cases). The incidence rate of Charcot arthropathy was 4.5% (1 case over 22 cases). The patient with Charcot arthropathy was conversed to the tibiotalarcalcaneal fusion with retrograde intramedullary nail. No wound infection or soft tissue complications related to surgery was reported. CONCLUSION: Standard open reduction and internal fixation technique showed high union rate of bimalleolar ankle fracture in patients with diabetes mellitus. The surgeon should be cautious to the Charcot arthropathy when treating ankle fracture with diabetes mellitus. |
format | Online Article Text |
id | pubmed-8696399 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-86963992022-01-28 Clinical Outcome of Bimalleolar Ankle Fracture in Patients with Diabetes Mellitus Lee, Hong S. Young, Kiwon Park, Tae-Hoon Lee, Hong Seop Foot Ankle Orthop Article CATEGORY: Trauma; Ankle INTRODUCTION/PURPOSE: Diabetes is a risk factor of postoperative complication for fracture surgery. The purpose of this study was to evaluate the clinical outcome of bimalleolar ankle fracture in patients with diabetes mellitus. METHODS: Twenty two patients (an average age; 69.3 years, an average HbA1C; 7.6%) with bi-malleolar ankle Fracture received open reduction and internal fixation between March 2013 and January 2019. Complications related to surgery, progression to Charcot arthropathy, presence of nonunion were used for outcome analysis. The patients were followed for an average of 12.1 months. RESULTS: The nonunion rate was 4.5% (1 case over 22 cases). The incidence rate of Charcot arthropathy was 4.5% (1 case over 22 cases). The patient with Charcot arthropathy was conversed to the tibiotalarcalcaneal fusion with retrograde intramedullary nail. No wound infection or soft tissue complications related to surgery was reported. CONCLUSION: Standard open reduction and internal fixation technique showed high union rate of bimalleolar ankle fracture in patients with diabetes mellitus. The surgeon should be cautious to the Charcot arthropathy when treating ankle fracture with diabetes mellitus. SAGE Publications 2020-11-06 /pmc/articles/PMC8696399/ http://dx.doi.org/10.1177/2473011420S00320 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Article Lee, Hong S. Young, Kiwon Park, Tae-Hoon Lee, Hong Seop Clinical Outcome of Bimalleolar Ankle Fracture in Patients with Diabetes Mellitus |
title | Clinical Outcome of Bimalleolar Ankle Fracture in Patients with Diabetes Mellitus |
title_full | Clinical Outcome of Bimalleolar Ankle Fracture in Patients with Diabetes Mellitus |
title_fullStr | Clinical Outcome of Bimalleolar Ankle Fracture in Patients with Diabetes Mellitus |
title_full_unstemmed | Clinical Outcome of Bimalleolar Ankle Fracture in Patients with Diabetes Mellitus |
title_short | Clinical Outcome of Bimalleolar Ankle Fracture in Patients with Diabetes Mellitus |
title_sort | clinical outcome of bimalleolar ankle fracture in patients with diabetes mellitus |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8696399/ http://dx.doi.org/10.1177/2473011420S00320 |
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