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Distal radius fractures
1%
16/1402
Patella fractures
0%
1/1402
Metatarsal fractures
7%
96/1402
Ankle fractures
91%
1275/1402
Distal femoral fractures
7/1402
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Presence of peripheral neuropathy has important implications in treating ankle fractures in diabetic patients. Increased immobilization periods, attention to tight glucose control, and adjunct/alternative operative techniques may be necessary for an optimal outcome. The first referenced article by Chaudry et al is an excellent review of diabetic ankle fractures. The second reference by Costigan et al noted that peripheral neuropathy is the most significant risk factor for postoperative complications, followed closely by lack of pedal pulses preoperatively. The last referenced article by Jones et al noted a significantly higher complication rate in diabetics with operative ankle fractures, and reported that neuroarthropathy is a significant risk factor for postoperative complications.
3.3
(28)
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