Outcome of Internal Fixation of Pott's Fractures of the Ankle Joint in Diabetic Patients

Document Type : Original Article

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Abstract

Background: One of the most frequent injuries that orthopedic surgeons treat is an ankle fracture. There are more ankle fractures today prevalent in this patient population as the frequency of diabetes mellitus (DM) has increased.
Objective: The current study was to look at how well for Pott's fractures, open reduction internal fixation with plates and screws were successful of the ankle joint in diabetic patients.
Patients and methods: A descriptive follow up study was conducted on 30 patients with ankle Pott's fractures visiting the orthopedic outpatient clinic of Zagazig University Hospital. Internal fixation and open reduction were used to treat all patients. Operative fixation was done through ORIF by plate and screws according to AO principles of periarticular fracture fixation.
Results: The high union rate occurs mainly at week 10 at higher percent (74%) in controlled diabetic patients, while union rate in uncontrolled diabetic patients was delayed till 6 months. Patients with DM experience higher complication rates with both open and closed methods for ankle fractures. People with poorly controlled diabetes who have high HbA1c levels experience more complications than those with well-controlled diabetes.
Conclusion: Bimalleolar ankle fractures respond well to surgical treatment in controlled diabetic patients, providing good functional outcome.    
 

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The Egyptian Journal of Hospital Medicine
Volume 91, Issue 1
April 2023
Pages 4405-4408

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