Literature DB >> 35083521

Surgical timing for torsional ankle fractures is not associated with post-operative complications in patients with type II diabetes mellitus.

Andrew P Konopitski1, Ajith Malige2, William Rodriguez2, Chinenye O Nwachuku2.   

Abstract

INTRODUCTION: Surgical stabilization of ankle fractures is one of the most commonly performed procedures in orthopedics, but these injuries can prove difficult to manage in patients with type II diabetes mellitus (DMII). The goal of this study is to determine if a correlation exists between surgical timing and complication rates among diabetic patients with ankle fractures.
METHODS: This is a retrospective case-control study spanning from 2012 to 2019 including patients with DMII undergoing operative fixation for ankle fractures. The primary independent variable was surgical timing and the primary dependent variable was the rate of post-operative complications.
RESULTS: The overall complication rate was 25.5% with 60% of these patients requiring repeat surgical intervention. The most common complication was superficial surgical-site infection. There was no significant difference in surgical timing between patients experiencing post-operative complication compared to those who did not.
CONCLUSION: Among patients with DMII, we failed to show a correlation between surgical timing and post-operative complication.
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Entities:  

Keywords:  Ankle fracture; Diabetes mellitus type II; Open reduction internal fixation; Post-operative complications; Surgical timing

Year:  2022        PMID: 35083521     DOI: 10.1007/s00402-021-04321-0

Source DB:  PubMed          Journal:  Arch Orthop Trauma Surg        ISSN: 0936-8051            Impact factor:   3.067


  18 in total

1.  Outcomes of ankle fractures in patients with uncomplicated versus complicated diabetes.

Authors:  Dane K Wukich; Alison Joseph; Michael Ryan; Claudia Ramirez; James J Irrgang
Journal:  Foot Ankle Int       Date:  2011-02       Impact factor: 2.827

2.  Operative management of ankle fractures in patients with diabetes mellitus.

Authors:  William Costigan; David B Thordarson; Ujjwal K Debnath
Journal:  Foot Ankle Int       Date:  2007-01       Impact factor: 2.827

3.  Closed ankle fractures in the diabetic patient.

Authors:  J M Flynn; F Rodriguez-del Rio; P A Pizá
Journal:  Foot Ankle Int       Date:  2000-04       Impact factor: 2.827

4.  Timing of Open Reduction and Internal Fixation of Ankle Fractures.

Authors:  Direk Tantigate; Gavin Ho; Joshua Kirschenbaum; Henrik Bäcker; Benjamin Asherman; Christina Freibott; Justin K Greisberg; J Turner Vosseller
Journal:  Foot Ankle Spec       Date:  2018-11-14

Review 5.  Complications of ankle fractures in diabetic patients.

Authors:  C Bibbo; S S Lin; H A Beam; F F Behrens
Journal:  Orthop Clin North Am       Date:  2001-01       Impact factor: 2.472

6.  Epidemiology of foot and ankle fractures in the United States: an analysis of the National Trauma Data Bank (2007 to 2011).

Authors:  Naohiro Shibuya; Matthew L Davis; Daniel C Jupiter
Journal:  J Foot Ankle Surg       Date:  2014-04-29       Impact factor: 1.286

7.  Operative versus nonoperative treatment of geriatric ankle fractures: a Medicare Part A claims database analysis.

Authors:  Jason T Bariteau; Raymond Y Hsu; Vincent Mor; Yoojin Lee; Christopher W DiGiovanni; Roman Hayda
Journal:  Foot Ankle Int       Date:  2015-02-24       Impact factor: 2.827

8.  Associations of timing of surgery with postoperative length of stay, complications, and functional outcomes 3-6 years after operative fixation of closed ankle fractures.

Authors:  M G Naumann; U Sigurdsen; S E Utvåg; K Stavem
Journal:  Injury       Date:  2017-03-31       Impact factor: 2.586

Review 9.  The timing of ankle fracture surgery and the effect on infectious complications; a case series and systematic review of the literature.

Authors:  Tim Schepers; Mark R De Vries; Esther M M Van Lieshout; Maarten Van der Elst
Journal:  Int Orthop       Date:  2013-01-04       Impact factor: 3.075

Review 10.  Complications of ankle fracture in patients with diabetes.

Authors:  Saad B Chaudhary; Frank A Liporace; Ankur Gandhi; Brian G Donley; Michael S Pinzur; Sheldon S Lin
Journal:  J Am Acad Orthop Surg       Date:  2008-03       Impact factor: 3.020

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