Complications Encountered with Circular Ring Fixation in Persons with Diabetes Mellitus

Wukich, Dane K.; Belczyk, Ronald; Burns, Patrick R.; Frykberg, Robert G.

doi:10.3113/fai.2008.0994

Cited by 74 publications

(46 citation statements)

References 33 publications

(40 reference statements)

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“…Patients with CN and foot ulcers have a 12 times higher risk of major amputation than patients without ulcers [29] . High rates of complications, both infectious and noninfectious, have been observed in CN patients undergoing surgical correction [30] . Elective foot and ankle surgery in patients with DM is associated with higher complication rates.…”

Section: Foot and Ankle Surgerymentioning

confidence: 99%

Diabetes and its negative impact on outcomes in orthopaedic surgery

Wukich

2015

WJO

110

113

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An estimated 285 million adults (aged 20-79 years) worldwide were diagnosed to have diabetes mellitus (DM) in 2010, and this number is projected to grow to 439 million adults by the year 2030. Orthopaedic surgeons, regardless of their subspecialty interest, will encounter patients with DM during their career since this epidemic involves both developed and emerging countries. Diabetes results in complications affecting multiple organ systems, potentially resulting in adverse outcomes after orthopaedic surgery. The purpose of this review is to discuss the pathophysiology of DM and its potential for impacting orthopaedic surgery patients. Diabetes adversely affects the outcome of all orthopaedic surgery subspecialties including foot and ankle, upper extremity, adult reconstructive, pediatrics, spine surgery and sports medicine. Poorly controlled diabetes negatively impacts bone, soft tissue, ligament and tendon healing. It is the complications of diabetes such as neuropathy, peripheral artery disease, and end stage renal disease which contributes to adverse outcomes. Well controlled diabetic patients without comorbidities have similar outcomes to patients without diabetes. Orthopaedic surgeons should utilize consultants who will assist in inpatient glycemic management as well as optimizing long term glycemic control.

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Section: Foot and Ankle Surgerymentioning

confidence: 99%

Diabetes and its negative impact on outcomes in orthopaedic surgery

Wukich

2015

WJO

110

113

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“…Severe infection was defined by purulent drainage with ‡2 cm of periincisional erythema and treatment by inpatient hospitalization and/or surgical intervention (see Appendix). Pin track infections associated with external fixation were not included as surgical site infections since these infections were not at the surgical site and they occur commonly in patients as the duration of external fixation increases 6,17 .…”

mentioning

confidence: 99%

Neuropathy and Poorly Controlled Diabetes Increase the Rate of Surgical Site Infection After Foot and Ankle Surgery

Wukich

Crim

Frykberg

et al. 2014

Journal of Bone and Joint Surgery

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143

119

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“…Despite success with major reconstruction, complications are common as the majority of these patients have multiple end-organ sequelae of uncontrolled, long-standing diabetes. Wukich and colleagues reported a sevenfold risk for any wire complication compared with patients without diabetes treated with external fixation [26].…”

Section: Treatment Options For Limb Salvagementioning

confidence: 99%