Managing Acute Ankle and Hindfoot Fracture in Diabetic Patients

Ngwe Phyo; Alexander Wee

doi:10.1016/j.fcl.2022.02.002

Managing Acute Ankle and Hindfoot Fracture in Diabetic Patients

Foot Ankle Clin. 2022 Sep;27(3):639-654. doi: 10.1016/j.fcl.2022.02.002. Epub 2022 Aug 6.

Authors

Ngwe Phyo¹, Alexander Wee²

Affiliations

¹ Department of Trauma and Orthopaedics, Frimley Park Hospital, Frimley Health NHS Foundation Trust, Portsmouth Road, Camberley GU16 7UJ, UK. Electronic address: ngwe.phyo@nhs.net.
² Department of Trauma and Orthopaedics, Frimley Park Hospital, Frimley Health NHS Foundation Trust, Portsmouth Road, Camberley GU16 7UJ, UK.

PMID: 36096556
DOI: 10.1016/j.fcl.2022.02.002

Abstract

The management of ankle fractures in the diabetic population requires special attention as the risks of injury or treatment-related complications are high. Thorough review of clinical history and detailed assessment provide the treating surgeons with key information to guide treatment pathway. Vigilance is required when opting for nonoperative treatment in undisplaced stable ankle fractures in patients with peripheral neuropathy. The presence of critical ischemia in injured limb demands vascular consultation and ultimately, an intervention before surgical fixation of ankle fracture. An extended period of immobilization is one of the key principles in the management of ankle fracture patients with diabetes.

Keywords: Ankle fracture; Charcot neuroarthropathy; Diabetic neuropathy; Hindfoot fracture.

Publication types

Review

MeSH terms

Ankle
Ankle Fractures* / complications
Ankle Fractures* / surgery
Ankle Injuries* / surgery
Ankle Joint / surgery
Diabetes Mellitus*
Humans