Can The Fibula-Pro-Tibia Technique Have An Impact For Diabetic Ankle Fractures?
Ankle fractures in patients with diabetes present a great challenge for the foot and ankle surgeon. Indeed, there is an abundance of literature documenting the difficulty of managing diabetic ankle fractures. Surgical treatment can be fraught with complications such as delayed bone and wound healing, and the development of Charcot neuroarthropathy. When it comes to treating diabetic ankle fractures, complication rates are high, especially in patients with neuropathy. One reason for this is the altered osteogenesis in patients with diabetes in comparison to that of people without diabetes. In 1988, Loder evaluated the influence of diabetes mellitus on the healing of closed fractures. The study found the overall osseous time to union to be 163 percent longer in the diabetic population. Furthermore, the study found that displaced fractures requiring open reduction internal fixation (ORIF) had a 187 percent longer healing time in patients with diabetes.1 Reddy, et al., studied the mechanic
Ankle fractures in patients with diabetes present a great challenge for the foot and ankle surgeon. Indeed, there is an abundance of literature documenting the difficulty of managing diabetic ankle fractures. Surgical treatment can be fraught with complications such as delayed bone and wound healing, and the development of Charcot neuroarthropathy. When it comes to treating diabetic ankle fractures, complication rates are high, especially in patients with neuropathy. One reason for this is the altered osteogenesis in patients with diabetes in comparison to that of people without diabetes. In 1988, Loder evaluated the influence of diabetes mellitus on the healing of closed fractures. The study found the overall osseous time to union to be 163 percent longer in the diabetic population. Furthermore, the study found that displaced fractures requiring open reduction internal fixation (ORIF) had a 187 percent longer healing time in patients with diabetes.1 Reddy, et al., studied the mechanic
