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Management of Acute Diabetic Ankle Fractures

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Evaluation and Surgical Management of the Ankle

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Abstract

Ankle fractures in the diabetic patient also present with impaired healing of the wound and bone, vascular insufficiency, and neuropathy. Preoperatively, patients should have good neurovascular examinations along with an evaluation of their hemoglobin A1c. Nonoperative treatment is indicated for non-displaced fractures. All displaced fractures should be managed surgically with four options available: standard fixation, trans-syndesmotic, trans-articular, or a combined technique. Major complications associated with managing these patients consist of failure of fixation, skin and wound problems, infections, and the development of Charcot neuroarthropathy.

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Author information

Authors and Affiliations

  1. Foot and Ankle Service, Center for Bone and Joint Disease, Hudson, FL, USA

    Dolfi Herscovici Jr.

  2. Foot and Ankle Service, Center for Bone and Joint Disease, Hudson, FL, USA

    Julia M. Scaduto

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  1. Dolfi Herscovici Jr.
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  2. Julia M. Scaduto
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Editors and Affiliations

  1. Center for Bone and Joint Disease, Hudson, FL, USA

    Dolfi Herscovici Jr.

  2. Hughston Orthopedic Trauma, Indianapolis, IN, USA

    Jeffrey O. Anglen

  3. Texas Orthopaedic Associates, Dallas, TX, USA

    John S. Early

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© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Herscovici, D., Scaduto, J.M. (2023). Management of Acute Diabetic Ankle Fractures. In: Herscovici Jr., D., Anglen, J.O., Early, J.S. (eds) Evaluation and Surgical Management of the Ankle. Springer, Cham. https://doi.org/10.1007/978-3-031-33537-2_16

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  • DOI: https://doi.org/10.1007/978-3-031-33537-2_16

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