ArticleOrthopaedic surgery2013
Effect of the blood HbA1c level on surgical treatment outcomes of diabetics with ankle fractures.
Article in Orthopaedic surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 64 citations in OpenAlex.
- Rate of Developing Charcot Arthropathy Following Ankle Injuries in Patients with Diabetes: A Two-Year Follow-up.Orthopedic reviews · 2026Article
- Outcomes of surgical management of ankle fractures in patients with diabetes.Journal of Taibah University Medical Sciences · 2024Article
- Surgical Management of Complex Ankle Fractures in Patients with Diabetes: A National Retrospective Multicentre Study.Journal of clinical medicine · 2024Article
- Primary arthrodesis for diabetic ankle fractures using a modified retrograde femoral intramedullary locking nail combined with lateral plating, surgical technique, and early results of a pilot study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Is preoperative elevated glycated hemoglobin (HbA1c) a risk factor for postoperative shoulder stiffness after posterior-superior rotator cuff repair?JSES international · 2024Article
- Hemoglobin A1c as a Predictor of Surgical Site Infection in Patients With Orthopaedic Trauma.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- Ankle fractures in the elderly: Do we have new concepts?EFORT open reviews · 2023Review
- Ankle fractures of the geriatric patient: a narrative review.EFORT open reviews · 2023Review
- Fractures and dislocations of the foot and ankle in people with diabetes: a literature review.Therapeutic advances in endocrinology and metabolism · 2023Review
- Surgical timing for torsional ankle fractures is not associated with post-operative complications in patients with type II diabetes mellitus.Archives of orthopaedic and trauma surgery · 2022Article
- Diabetic Kidney Disease Is Associated With Increased Complications Following Operative Management of Ankle Fractures.Foot & ankle orthopaedics · 2022Article
- Combined Effect of Inflammation and Hyperglycemia on Mild Cognitive Impairment and Associated Dietary Patterns in an Older Taiwanese Population.Frontiers in nutrition · 2022Article
- [Ankle fractures in older patients : What should we do differently?]Der Unfallchirurg · 2021Review
- Ankle fractures in diabetic patients.EFORT open reviews · 2020Review
- The Life of a Fracture: Biologic Progression, Healing Gone Awry, and Evaluation of Union.JBJS reviews · 2020Review
- Risk factors for delay in surgery for patients undergoing elective anterior cervical discectomy and fusion.Journal of spine surgery (Hong Kong) · 2019Article
- Special Considerations in the Management of Diabetic Ankle Fractures.Current reviews in musculoskeletal medicine · 2018Review
- Skeletal Metabolism, Fracture Risk, and Fracture Outcomes in Type 1 and Type 2 Diabetes.Diabetes · 2016Review
- Management of ankle fractures in the elderly.EFORT open reviews · 2016Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate whether blood haemoglobin A 1c (HbA1c) levels was predicative of diabetic patients' responsiveness to surgical treatment of ankle fractures.
methodsThe relationship between blood HbA1c levels and surgical treatment outcomes of 21 diabetic patients undergoing open reduction internal fixation (ORIF) for ankle fractures was analyzed with Pearson correlation testing and t testing. All patients were treated with ORIF using standard surgical techniques. Treatment outcomes were defined using radiological outcome, the American Orthopaedic Foot and Ankle Score (AOFAS) ankle-hindfoot scale score, surgical revision rate, and complication rate.
resultsHbA1c levels were found to have a statistically significant correlation with poor radiological outcomes (r = 0.547) and AOFAS ankle-hindfoot scores (r = -0.592). Additionally, though rates of poor radiological outcome, revision, and complication were high in the diabetic population as a whole, these rates were considerably higher among individuals with elevated HbA1c (≥6.5%) and considerably lower among individuals with lower HbA1c (<6.5%) levels.
conclusionBlood HbA1c levels appear to be predictive of risk and complication rates in the surgical treatment outcomes of diabetic patients with ankle fractures.
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