Current Reviews in Musculoskeletal Medicine

, Volume 11, Issue 3, pp 445–455 | Cite as

Special Considerations in the Management of Diabetic Ankle Fractures

  • Jeffrey M. ManwayEmail author
  • Cody D. Blazek
  • Patrick R. Burns
Foot and Ankle Trauma (G Moloney, section editor)
Part of the following topical collections:
  1. Topical Collection on Foot and Ankle Trauma


Purpose of Review

Ankle fractures and diabetes mellitus are both increasing in prevalence. Patients with both diabetes and an ankle fracture have been shown to have an increased rate of complications which can be catastrophic. The purposes of this review are to identify factors placing patients at an increased risk and offer guidance on the management of these injuries, in order to reduce potential complications.

Recent Findings

Non-operative management of unstable ankle fractures in patients with diabetes results in an unacceptably high rate of complications. Operatively managed patients with uncomplicated diabetes seem to fair as well as patients without diabetes. Thus, it is important to recognize patients as either complicated or uncomplicated at the onset of their treatment based on comorbidities.


There is limited evidence to guide the management of ankle fractures in patients with diabetes, in particular those deemed complicated. Non-operative management of unstable fractures in diabetic patients should be avoided.


Diabetic ankle fracture Charcot neuroarthropathy Ankle fracture complications Ankle fracture fixation 


Compliance with Ethical Standards

Conflict of Interest

All authors declare no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major Importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Jeffrey M. Manway
    • 1
    Email author
  • Cody D. Blazek
    • 2
  • Patrick R. Burns
    • 3
  1. 1.UPMC Department of Orthopaedic Surgery, Division of Foot and Ankle SurgeryMonroevilleUSA
  2. 2.UPMC Mercy Podiatric Surgical ResidencyPittsburghUSA
  3. 3.UPMC Department of Orthopaedic Surgery, Division of Foot and Ankle Surgery, UPMC Mercy HospitalPittsburghUSA

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