Department of Trauma and Orthopaedics, Frimley Park Hospital, Frimley Health NHS Foundation Trust, Portsmouth Road, Camberley GU16 7UJ, UK.
Department of Trauma and Orthopaedics, Frimley Park Hospital, Frimley Health NHS Foundation Trust, Portsmouth Road, Camberley GU16 7UJ, UK.
Foot Ankle Clin. 2022 Sep;27(3):639-654. doi: 10.1016/j.fcl.2022.02.002. Epub 2022 Aug 6.
The management of ankle fractures in the diabetic population requires special attention as the risks of injury or treatment-related complications are high. Thorough review of clinical history and detailed assessment provide the treating surgeons with key information to guide treatment pathway. Vigilance is required when opting for nonoperative treatment in undisplaced stable ankle fractures in patients with peripheral neuropathy. The presence of critical ischemia in injured limb demands vascular consultation and ultimately, an intervention before surgical fixation of ankle fracture. An extended period of immobilization is one of the key principles in the management of ankle fracture patients with diabetes.
糖尿病患者踝关节骨折的管理需要特别注意，因为受伤或治疗相关并发症的风险很高。仔细审查临床病史和详细评估为治疗医生提供了关键信息，以指导治疗方案。对于伴有周围神经病变的无移位稳定踝关节骨折患者，选择非手术治疗时需要保持警惕。受伤肢体存在临界性缺血时，需要血管科会诊，最终在踝关节骨折手术固定之前进行干预。对于糖尿病患者的踝关节骨折患者，长时间固定是管理的关键原则之一。
