Johnson Adam R, Yoon Patrick
Hennepin County Medical Center, Minneapolis, Minnesota, USA.
Foot Ankle Spec. 2010 Aug;3(4):184-9. doi: 10.1177/1938640010371690. Epub 2010 May 18.
The treatment of ankle fractures in the presence of diabetes mellitus can be difficult because of a higher complication rate with this subset of the population. When peripheral neuropathy is present at the time of trauma, there is an increased risk of developing Charcot arthropathy, a limb-threatening complication that often creates breakdown, instability, and chronic ulceration of the limb. The authors present a case report of a diabetic patient who sustained an unstable ankle fracture with subsequent neuroarthropathic event that required multiple surgical procedures for salvage of the limb.
由于糖尿病患者这一亚群的并发症发生率较高，糖尿病患者踝关节骨折的治疗可能会很困难。当外伤时存在周围神经病变，发生夏科关节病的风险就会增加，这是一种威胁肢体的并发症，常导致肢体破溃、不稳定和慢性溃疡。作者报告了一例糖尿病患者，该患者发生了不稳定的踝关节骨折，随后出现神经关节病事件，需要多次手术来挽救肢体。
