The Orthobullets Podcast
Podiums⎪Trauma⎪8 Minute Pearls: Diabetic Ankle Fracture Dislocation
Apr 22, 2025
Dr. Marcus Sciadini, an esteemed speaker on diabetic foot issues, dives deep into the complexities of managing diabetic ankle fracture dislocations. He shares challenges and strategies, highlighting cases where coexisting conditions like obesity hamper recovery. Discussion includes the importance of preserving cartilage during surgery and the successful use of hindfoot fusion nails in high-risk patients. Listeners will appreciate the insight into minimizing complications while achieving low amputation rates.
08:47
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Quick takeaways
- Management of diabetic ankle fractures requires consideration of comorbidities like obesity and neuropathy to avoid severe complications.
- Innovative techniques such as hindfoot fusion nailing enhance outcomes for high-risk patients while minimizing surgical complications.
Deep dives
Challenges in Managing Diabetic Ankle Fractures
Diabetic patients presenting with ankle fractures pose significant management challenges due to underlying conditions such as obesity, neuropathy, and vascular disease. These conditions can complicate traditional surgical approaches, which often lead to complications like infections and, in severe cases, necessitate amputation. For instance, a 63-year-old female patient with multiple health issues and an open ankle dislocation was discussed, highlighting how her fragile state required careful management beyond the standard fixation techniques. The podcast emphasizes that failure to consider these comorbidities can result in dire outcomes, thus necessitating alternative solutions tailored for such 'poor hosts.'
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