ArticleJournal of clinical orthopaedics and trauma2021
Current concepts and challenges in managing ankle fractures in the presence of diabetes: A systematic review of the literature.
Article in Journal of clinical orthopaedics and trauma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Negative pressure wound therapy compared with conventional wound dressings for closed incisions in orthopaedic trauma surgery: A meta-analysis.International wound journal · 2022Pooled it
- Risk stratification in diabetic ankle fractures: a systematic review of reviews and proposal of the MADRAS scoring system.Cardiovascular diabetology. Endocrinology reports · 2026Review
- Healthcare Utilization and Recovery Duration After Ankle Fracture: A Claims-Based Study of Timeline, Costs and Complications.Journal of evaluation in clinical practice · 2026Article
- Peroneal Artery Danger Zone With Syndesmotic Screw Fixation: A Computed Tomography Angiography Study.Foot & ankle international · 2026Article
- Retrospective Comparison of Complication Rates Following Tibiotalocalcaneal (TTC) Nail Fusion vs ORIF for Neuropathic Ankle Fractures.Foot & ankle orthopaedics · 2026Article
- Post-operative infection following ankle fracture surgery: a current concepts review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Review
- 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
- Complications following surgical treatment of ankle fractures in the elderly: can they be avoided?Orthopedic reviews · 2024Article
- Fractures and dislocations of the foot and ankle in people with diabetes: a literature review.Therapeutic advances in endocrinology and metabolism · 2023Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnkle fractures in diabetic patients are known to have an increased morbidity. This systematic review aims to evaluate the current evidence in terms of risk profile and inform treatment options.
methodsFollowing the methodology of the Cochrane collaboration, an extensive literature search was conducted. Outcomes included, complications, operative and non-operative management and early weight-bearing.
resultsA total of 40 studies were included. Complication rates were higher in diabetic patients and more so in poorly controlled diabetes, IDDM, or "complicated" diabetes. Supplementary fixation was associated with lower complication rates. Regarding early weight-bearing, similar results to non-diabetics in the stable fracture pattern were found providing there was no evidence of neuropathy.
conclusionDiabetes, especially complicated diabetes, presents an increased risk of complications. However non operative management of diabetic ankle fractures do poorly, and with the use of 'ORIF plus' techniques there is no increase in complications from early fixation. The use of external fixation for definitive fixation should be minimised as it is associated with high complication rates.
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