Outcomes of Ankle Fractures Fixation in Controlled Versus Uncontrolled Diabetic Patients

Abstract

Objective: To identify the role of preoperative HbA1c as a predictive value of clinical outcomes as well as for the risk of complications following surgical treatment of diabetic ankle fractures.

Methods: This study was carried on 34 patients, all were well known diabetic patients with 15 patients (44%) were had controlled diabetes (HbA1c˂7%) and 19 patients (56%) were had uncontrolled diabetes (HbA1c≥7%). with a mean age of 50.03 years old and BMI with mean of 31.7.

Results: The complications rate was 47.1% of all studied cases. Complication rate among controlled DM group was 26.7% and complication rate for uncontrolled DM was 63.2%.

Conclusion: There was statistically significant increase in complications rate in uncontrolled DM group with high HbA1c ≥ 7%. There was positive correlation between rate of all complications and level of HbA1c, mainly complications related to wound problems, as surgical site infection and delayed wound healing. There was positive correlation between age and rate of complications. there was negative correlation between level of HbA1c and functional improvement.