Ankle fractures in patients with diabetes mellitus

K B Jones; K A Maiers-Yelden; J L Marsh; M B Zimmerman; M Estin; C L Saltzman

doi:10.1302/0301-620x.87b4.15724

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$Ankle fractures in patients with diabetes mellitus$

Journal article

Ankle fractures in patients with diabetes mellitus

K B Jones, K A Maiers-Yelden, J L Marsh, M B Zimmerman, M Estin and C L Saltzman

Journal of bone and joint surgery. British volume, Vol.87(4), pp.489-495

04/2005

DOI: 10.1302/0301-620x.87b4.15724

PMID: 15795198

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Abstract

Diabetes mellitus is considered an indicator of poor prognosis for acute ankle fractures, but this risk may be specific to an identifiable subpopulation. We retrospectively reviewed 42 patients with both diabetes mellitus and an acute, closed, rotational ankle fracture. Patients were individually matched to controls by age, gender, fracture type, and surgical vs non-surgical treatment. Outcomes were major complications during the first six months of treatment. We contrasted secondarily 21 diabetic patients with and 21 without diabetic comorbidities. Diabetic patients and controls did not differ significantly in total complication rates. More diabetic patients required long-term bracing. Diabetic patients without comorbidities had complication rates equal to their controls. Diabetic patients with comorbidities had complications at a higher rate (ten patients; 47%) than matched controls (three patients; 14%, p = 0.034). A history of Charcot neuroarthropathy led to the highest rates of complication. An increased risk of complications in diabetic patients with closed rotational fractures of the ankle are specific to a subpopulation with identifiable related comorbidities.

Fracture Fixation - methods

Prognosis

Wound Infection - etiology

Ankle Injuries - surgery

Humans

Middle Aged

Risk Factors

Male

Long-Term Care

Diabetes Complications - complications

Orthotic Devices

Ankle Injuries - complications

Fractures, Bone - surgery

Fractures, Bone - complications

Adult

Female

Aged

Retrospective Studies

Fractures, Bone - therapy

Postoperative Complications

Ankle Injuries - therapy

Details

Title: Subtitle: Ankle fractures in patients with diabetes mellitus
Creators: K B Jones - Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242-1088, USA. kevin-jones@uiowa.edu
K A Maiers-Yelden
J L Marsh
M B Zimmerman
M Estin
C L Saltzman
Resource Type: Journal article
Publication Details: Journal of bone and joint surgery. British volume, Vol.87(4), pp.489-495
Publisher: England
DOI: 10.1302/0301-620x.87b4.15724
PMID: 15795198
ISSN: 0301-620X
eISSN: 2044-5377
Language: English
Date published: 04/2005
Academic Unit: Biostatistics; Orthopedics and Rehabilitation
Record Identifier: 9983997359102771

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118 Times Cited - Web of Science