A 4.5 year old congenitally paraplegic female patient who has congenital meningomyelocele, sitting imbalance and a 10x15 cm decubitus ulcer on her lumber region because of the lumber kyphosis. After surgery she gained the sitting balance postoperatively. During postoperative rehabilitation that applied to the patient without prediction of low bone quality, patient had femur fracture twice in a short period. In this case we especially aimed to emphasize this fracture complications should be in our mind in these groups of patients.

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Diabetes mellitus is a chronic and multi-systemic disease with various treatment options and has long-term effect on lifestyle of individuals and society. Not only disesase itself but also damage to peripherical organs as a result of disease in long term is an important cause of morbidity and mortality. In this review study it has been aimed to assess complications caused by peripherical organ involvment and treatment options rather than those caused by diabetes mellitus itself.