Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Ankle / Foot
Abstract number: 23550
RESULTS AFTER IMMEDIATE OPERATIONS OF ANKLE FRACTURES IN
PATIENTS WITH PREOPERATIVELY NEGLECTED TYPE 2 DIABETES
Jiong Jiong GUO, Huilin YANG
Dept Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou
(CHINA)
Many studies suggest diabetes influence ankle fracture surgical outcomes, but
results after immediate surgical treatments of closed ankle fractures (CAFs) in
patients with preoperatively neglected type 2 diabetes (PND2) have not been
documented. We contrasted the results of the immediate operations of CAF in 36
PND2 patients with those of a matched group of non-diabetic patients, using a casecontrolled
study. Outcomes were complications and ankle scores during the
first 12 months of treatment. Compared with non-diabetic patients, immediate
surgical xation of the CAF in PND2 patients showed similar results of ankle scores.
Immediate surgery in PND2 patient with CAF may increase the risk of postoperative
infection (13 patients; 36.1%) than non-diabetic controls (5 patients; 13.9%),
but the difference was not statistically significant and did not worsen the final
prognosis. These findings suggest that immediate surgical intervention is approved in
those CAF patients with risks of type 2 diabetes to some extent.
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