Diabetic ankle fracture complications: a meta-analysis

Clinical, Radiographic, and Histologic Outcomes of Ankle Arthrodesis in a Diabetic Patient using a Biphasic Calcium Phosphate Bone Graft with a Novel Submicron Needle-shaped Surface Topography

“…Ankle arthrodesis in Charcot arthropathy is known to lead to increased complications such as non-union, malunion, infection, and amputation [2]. Successful fusion depends on a variety of factors including patient age and co-morbidities, arthrodesis technique and implants chosen, and bone graft selected [3]. This case exhibits the benefits associated with the use of a biphasic calcium phosphate bone graft with submicron needle-shaped surface topography in achieving a reliable and solid fusion.…”

“…Patients with diabetes mellitus who sustain ankle fractures are at increased risk of complications including non-union, malunion, wound dehiscence, soft tissue infection, osteomyelitis, deterioration to Charcot arthropathy, and amputation [1][2][3]. There is no gold standard for treatment, as the success of both bony and soft tissue healing depends on factors such as fracture pattern, patient co-morbidities, hemoglobin A1c, the presence of neuropathy, the ability of the patient to remain non-weight bearing, and others [3].…”

“…Patients with diabetes mellitus who sustain ankle fractures are at increased risk of complications including non-union, malunion, wound dehiscence, soft tissue infection, osteomyelitis, deterioration to Charcot arthropathy, and amputation [1][2][3]. There is no gold standard for treatment, as the success of both bony and soft tissue healing depends on factors such as fracture pattern, patient co-morbidities, hemoglobin A1c, the presence of neuropathy, the ability of the patient to remain non-weight bearing, and others [3]. Multiple publications have evaluated treatment options for diabetic patients with ankle fractures; management options include non-surgical treatment and immobilization, open reduction internal fixation, arthrodesis of the tibiotalar joint, arthrodesis of the tibiotalocalcaneal joints, external fixation, or amputation [4][5][6][7].…”

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Patients with diabetes mellitus who sustain ankle fractures are at increased risk of complications including non-union, malunion, wound dehiscence, soft tissue infection, osteomyelitis, deterioration to Charcot arthropathy, and amputation [1][2][3]. Multiple publications have evaluated treatment options for diabetic patients with ankle fractures; management options include non-surgical treatment and immobilization, open reduction internal fixation, arthrodesis of the tibiotalar joint, arthrodesis of the tibiotalocalcaneal joints, external fixation, and amputation [4][5][6][7].

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Restoration of Anatomic Parameters and Syndesmotic Reduction After Intramedullary Nailing of Distal Fibular Fractures

“…7,18,43 Intramedullary nailing of the fibula is a minimally invasive treatment that is especially useful in diabetic and elderly patients because of the higher complication and hardware removal rate associated with open approaches in these populations. 2,23,34 Multiple studies had reported on clinical, functional, and cost-effectiveness results regarding fibular nailing in these groups of patients. 4,10,28,42 However, results on the restoration of anatomical parameters after fibular nailing in ankle fractures have been scarce.…”