Bibbo C, Lin S S, Beam H A, Behrens F F
Department of Orthopaedics, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark 07103, USA.
Orthop Clin North Am. 2001 Jan;32(1):113-33. doi: 10.1016/s0030-5898(05)70198-x.
Ankle fracture in patients with DM mandates a stepwise protocol to minimize the potential complications of delayed fracture healing, wound complications, and development of Charcot arthropathy. For nondisplaced ankle fracture, a nonoperative approach with increased duration of immobilization seems successful based on experience of the limited series. A displaced ankle fracture in a patient with DM requires a surgical intervention. The authors advocate tight glucose control in both groups to improve the fracture milieu and to ameliorate the potential complications. Appropriate stable fixation with adequate length of immobilization is crucial for successful fracture resolution.
糖尿病患者的踝关节骨折需要采取逐步的方案，以尽量减少骨折愈合延迟、伤口并发症和夏科氏关节病发展等潜在并发症。根据有限系列病例的经验，对于无移位的踝关节骨折，采用延长固定时间的非手术方法似乎是成功的。糖尿病患者的移位踝关节骨折需要手术干预。作者主张两组患者都要严格控制血糖，以改善骨折环境并减轻潜在并发症。采用适当的稳定固定并给予足够长的固定时间对于骨折的成功愈合至关重要。
