Ankle fractures in diabetic complications of open reduction and internal fixation

ABSTRACT

Diabetes Mellitus is considered an indicator of poor prognosis of acute ankle fractures, to determine the relative risk of complications in treating ankle fractures in patients with diabetes, we compared the results of the management of displaced bimalleolar and trimalleolar fractures in 24 patients with those of a matched group of 22 non-diabetic patients. Patients were individually matched by age, gender and fracture type. Diabetic patients had complications at higher rates [14 patients; 58.3%] than non-diabetic patients [2 patients; 9.0%] [P= 0.001]. An increase risk of complications in diabetic patients with the duration of the diabetes mellitus more than 5 years [10 patients; 71.4%] [P = 0.001] and the increase risk of complications in diabetic patients was related to trimaleolar fracture type [10 patients; 76.1%] [P = 0.001]