The management of diabetic ankle fractures is difficult given the associated wound and bone healing complications. Even with meticulous soft tissue handling and a stable construct, the fixation sometimes fails because of the poor biological environment. This study reports on 2 cases of Weber type B ankle fractures in patients with diabetes mellitus where the authors elected to treat with arthroscopy-assisted fracture reduction and percutaneous fibula nailing to reduce the risk of wound complications.
MokdadAHFordESBowmanBA. Prevalence of obesity, diabetes and obesity-related health risk factors. JAMA. 2003;289:76-79.
6.
BlotterRHConnollyEWasanAChapmanMW. Acute complications in the operative treatment of isolated ankle fractures in patients with diabetes mellitus. Foot Ankle Int. 1999;20:687-694.
7.
ConnollyJFCsencsitzTA. Limb threatening neuropathic complications from ankle fractures in patients with diabetes. Clin Orthop. 1998;348:212-219.
8.
FlynnJMRodriguez-delRioFPizaPA. Closed ankle fractures in the diabetic patient. Foot Ankle Int. 2000;21:311-319.
9.
HolmesGBJrHillN. Fractures and dislocations of the foot and ankle in diabetics associated with Charcot joint changes. Foot Ankle Int. 1994;15:182-185.
10.
LowCKTanSK. Infection in diabetic patients with ankle fractures. Ann Acad Med Singapore. 1995;24:353-355.
11.
KristiansenB. Ankle and foot fractures in diabetics provoking neuropathic joint changes. Acta Orthop Scand. 1980;51:975-979.
12.
KristiansenB. Results of surgical treatment of malleolar fractures in patients with diabetes mellitus. Dan Med Bull. 1983;30:272-274.
13.
McCormackRGLeithJM. Ankle fractures in diabetics: complications of surgical management. J Bone Joint Surg Br. 1998;80:689-692.
14.
WukichDKLoweryNJMcMillenRLFrykbergRG. Postoperative infection rates in foot and ankle surgery: a comparison of patients with and without diabetes mellitus. J Bone Joint Surg Am. 2010;92:287-295.
15.
JonesKBMaiers-YeldenKAMarshJLZimmermanMBEstinMSaltzmanCL. Ankle fractures in patients with diabetes mellitus. J Bone Joint Surg Br. 2005;87:489-495.
16.
AppletonPMcQueenMCourt-BrownC. The fibula nail for treatment of ankle fractures in elderly and high risk patients. Tech Foot Ankle Surg. 2006;5:204-208.
17.
GehrJNeberWHilsenbeckFFriedlW. New concepts in the treatment of ankle joint fractures. The IP-XS and IPXXS nail in the treatment of ankle joint fractures. Arch Orthop Trauma Surg. 2004;124:96-103.
18.
RamasamyPRSherryP. The role of a fibular nail in the management of Weber type B ankle fractures in elderly patients with osteoporotic bone: a preliminary report. Injury. 2001;32:477-485.
19.
AktasSKocaogluBGereliANalbantodluUGüvenO. Incidence of chondral lesions of talar dome in ankle fracture types. Foot Ankle Int. 2008;29:287-292.
20.
LeontaritisNHinojosaLPanchbhaviVK. Arthroscopically detected intraarticular lesions associated with acute ankle fractures. J Bone Joint Surg Am. 2009;91:333-339.
21.
TakaoMUchioYNaitoKFukazawaIKakimaruTOchiM. Diagnosis and treatment of combined intra-articular disorders in acute distal fibular fractures. J Trauma. 2004;57:1303-1307.
