Blisters in Ankle Fractures: A Retrospective Cohort Study

González-Quevedo, David; Siles, Juan Manuel Sánchez; Tomba, Facundo Rojas; Tamimi, Iskandar; Bardaji, Manuel Francisco Bravo; Pareja, Francisco Villanueva

doi:10.1053/j.jfas.2017.02.003

Cited by 10 publications

(3 citation statements)

References 22 publications

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“…Peripheral neuropathy also carried a risk of major complications (OR 15.49, p ¼ 0.015). Gonzalez et al 17 looked at blistering in ankle fracture surgery and detected a pre-operative difference in blood glucose in those that developed blisters (123 g/dL vs 107, p ¼ 0.0030 but did not detect a difference between patients with a pre-existing diagnosis of either NIDDM or IDDM. Korim et al 18 looked at risk factors for developing surgical site infection (SSI) in 710 patients following ankle ORIF.…”

Section: Overall Complication Ratementioning

confidence: 99%

Current concepts and challenges in managing ankle fractures in the presence of diabetes: A systematic review of the literature

Nash¹,

Hester

2021

Journal of Clinical Orthopaedics and Trauma

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Background: Ankle fractures in diabetic patients are known to have an increased morbidity. This systematic review aims to evaluate the current evidence in terms of risk profile and inform treatment options. Methods: Following the methodology of the Cochrane collaboration, an extensive literature search was conducted. Outcomes included, complications, operative and non-operative management and early weight-bearing. Results: A total of 40 studies were included. Complication rates were higher in diabetic patients and more so in poorly controlled diabetes, IDDM, or "complicated" diabetes. Supplementary fixation was associated with lower complication rates. Regarding early weight-bearing, similar results to nondiabetics in the stable fracture pattern were found providing there was no evidence of neuropathy. Conclusion: Diabetes, especially complicated diabetes, presents an increased risk of complications. However non operative management of diabetic ankle fractures do poorly, and with the use of 'ORIF plus' techniques there is no increase in complications from early fixation. The use of external fixation for definitive fixation should be minimised as it is associated with high complication rates.

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Section: Overall Complication Ratementioning

confidence: 99%

Current concepts and challenges in managing ankle fractures in the presence of diabetes: A systematic review of the literature

Nash¹,

Hester

2021

Journal of Clinical Orthopaedics and Trauma

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“…Ankle fractures have an incidence of 9% of all adult fractures treated by orthopedics. 5 This common injury can present with unique variability in terms of the patient factors and injury pattern complicating the management. There has been a considerable presentation of evidence for the treatment of ankle fractures in patients with common neuropathies like diabetic neuropathy.…”

Section: Introductionmentioning

confidence: 99%

Ankle Fracture in Hereditary Sensory Neuropathy Type 1

Loh¹,

Cyr²,

Martin

2021

The Journal of Foot and Ankle Surgery

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Surgery should be delayed for soft tissue and edema management. 7 Fixation such as Rush rods can also be utilized for distal one-third fibula fractures with compromised soft-tissue conditions which demonstrate stability with fixation. 8 Percutaneous fixation approaches have been published in the literature in patients with soft tissue compromise.…”

mentioning

confidence: 99%

Double fibular fracture: An innovative use for elastic stable intramedullary nailing of a distal and proximal fibular fracture

Ehredt

Schnack

Radzi

2021

Foot & Ankle Surgery: Techniques, Reports & Cases

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Ankle fractures can present in a number of pre-defined patterns. However, it is very rare to see the fibula fractured twice from one traumatic injury. This is a case of a 54-year-old female that sustained a unique low-energy spiral injury of a dislocated trimalleolar ankle fracture with a two-part fibular fracture. Since the patient suffered from two fibula fractures communicating with the ankle joint and severe hemorrhagic fracture blisters, an emerging technique involving the percutaneous placement of an elastic stable intramedullary nail was utilized to reduce and fixate both fractures. The case demonstrates percutaneous fixation in a patient experiencing significant soft tissue injury and subsequently utilizing a pediatric flexible femoral nail to stabilize two distinct fibular fractures.

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Blisters in Ankle Fractures: A Retrospective Cohort Study

Cited by 10 publications

References 22 publications

Current concepts and challenges in managing ankle fractures in the presence of diabetes: A systematic review of the literature

Current concepts and challenges in managing ankle fractures in the presence of diabetes: A systematic review of the literature

Ankle Fracture in Hereditary Sensory Neuropathy Type 1

Double fibular fracture: An innovative use for elastic stable intramedullary nailing of a distal and proximal fibular fracture

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