Khaled M Emara1, Ramy A Diab2, Mohamed N Essa3, Mostafa Gemeah4, Yahya K Emara5, Salma Fleifil6. 1. Department of Orthopaedic Surgery, Ain Shams University Hospitals, Ramses St, Abbasiya Sq., Cairo, 11566, Egypt. 2. Department of Orthopaedic Surgery, Ain Shams University Hospitals, Ramses St, Abbasiya Sq., Cairo, 11566, Egypt. ramy.diab@med.asu.edu.eg. 3. Al Bank Al-Ahly Hospital, Cairo, 11835, Egypt. 4. Faculty of Medicine, Al-Azhar University, Cairo, 11835, Egypt. 5. College of Engineering and Applied Science, University of Cincinnati, Cincinnati, 45219, USA. 6. Miami University, Oxford, OH, 45056, USA.
Abstract
BACKGROUND: Diabetic ankle fractures were usually treated by open reduction and internal fixation (ORIF) which may lead to Charcot joint, or conservative which may lead to pressure sores. For better results, minimally invasive procedures have been developed, which decrease complications and enable early mobilization and rapid rehabilitation. MATERIALS AND METHODS: This is a retrospective study of a total of 26 uncontrolled diabetic patients: 8 males [30.8%] and 18 females [69.2%]. The mean age of the patients was 67.4 (range 60 to 75) years. We include only Weber A and B where 10 patients suffered from lateral malleolus only (38.5%), 11 patients with bi-malleolar ankle fracture (42.3%) and 5 patients with tri-malleolar fracture (19.2%). RESULTS: The mean time to union was 6.92 weeks (range of 6 to 12 weeks). Weight-bearing has begun from the first day in 19 patients (73.1%), while 7 patients began weight-bearing 4 weeks after the operation (26.9%). Mean follow-up ranged from 2 to 5 years. Mean AOFAS was 96.12 (range of 60 to 99). Only 3 patients suffered from complication: One patient suffered from Charcot joint, one suffered from fracture displacement and needed revision, and one suffered from mal-reduction. Thus, the complication rate was 11.5%. CONCLUSION: We believe that percutaneous cannulated screws technique is a simple and effective method that can be applied safely in uncontrolled DM patients with ankle fractures.
BACKGROUND:Diabetic ankle fractures were usually treated by open reduction and internal fixation (ORIF) which may lead to Charcot joint, or conservative which may lead to pressure sores. For better results, minimally invasive procedures have been developed, which decrease complications and enable early mobilization and rapid rehabilitation. MATERIALS AND METHODS: This is a retrospective study of a total of 26 uncontrolled diabeticpatients: 8 males [30.8%] and 18 females [69.2%]. The mean age of the patients was 67.4 (range 60 to 75) years. We include only Weber A and B where 10 patients suffered from lateral malleolus only (38.5%), 11 patients with bi-malleolar ankle fracture (42.3%) and 5 patients with tri-malleolar fracture (19.2%). RESULTS: The mean time to union was 6.92 weeks (range of 6 to 12 weeks). Weight-bearing has begun from the first day in 19 patients (73.1%), while 7 patients began weight-bearing 4 weeks after the operation (26.9%). Mean follow-up ranged from 2 to 5 years. Mean AOFAS was 96.12 (range of 60 to 99). Only 3 patients suffered from complication: One patient suffered from Charcot joint, one suffered from fracture displacement and needed revision, and one suffered from mal-reduction. Thus, the complication rate was 11.5%. CONCLUSION: We believe that percutaneous cannulated screws technique is a simple and effective method that can be applied safely in uncontrolled DMpatients with ankle fractures.
Authors: Sherif Mohamed Abdelgaid; Ahmed Fawaz Moursy; Eyad Abd Allah Elgebaly; Aly Mohamed Aboelenien Journal: J Foot Ankle Surg Date: 2018 May - Jun Impact factor: 1.286
Authors: Sherif Dabash; Emmanuel D Eisenstein; Eric Potter; Nicholas Kusnezov; Ahmed M Thabet; Amr A Abdelgawad Journal: J Foot Ankle Surg Date: 2019-01-03 Impact factor: 1.286
Authors: Irina Bazarov; Jason Kim; Johanna M Richey; Joseph D Dickinson; Graham A Hamilton Journal: J Foot Ankle Surg Date: 2018-02-02 Impact factor: 1.286