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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...

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Autores principales: Lee, Hong S., Young, Kiwon, Park, Tae-Hoon, Lee, Hong Seop
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
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.
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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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