Combined circular external fixation and open reduction internal fixation with pro-syndesmotic screws for repair of a diabetic ankle fracture

Zacharia Facaros, Crystal L. Ramanujam, John J. Stapleton

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

The surgical management of ankle fractures among the diabetic population is associated with higher complication rates compared to the general population. Efforts toward development of better methods in prevention and treatment are continuously evolving for these injuries. The presence of peripheral neuropathy and the possible development of Charcot neuroarthropathy in this high risk patient population have stimulated much surgical interest to create more stable osseous constructs when open reduction of an ankle fracture/dislocation is required. The utilization of multiple syndesmotic screws (pro-syndesmotic screws) to further stabilize the ankle mortise has been reported by many foot and ankle surgeons. In addition, transarticular Steinmann pins have been described as an adjunct to traditional open reduction with internal fixation (ORIF) of the ankle to better stabilize the talus, thus minimizing risk of further displacement, malunion, and Charcot neuroarthropathy. The authors present a unique technique of ORIF with prosyndesmotic screws and the application of a multi-plane circular external fixator for management of a neglected diabetic ankle fracture that prevented further deformity while allowing a weight-bearing status. This technique may be utilized for the management of complex diabetic ankle fractures that are prone to future complications and possible limb loss.

Original languageEnglish (US)
JournalDiabetic Foot and Ankle
Volume1
DOIs
StatePublished - 2010

Keywords

  • Charcot neuroarthropathy
  • Complications
  • Diabetes
  • Revisional foot and ankle surgery
  • Trauma-external fixation

ASJC Scopus subject areas

  • Internal Medicine
  • Podiatry

Fingerprint Dive into the research topics of 'Combined circular external fixation and open reduction internal fixation with pro-syndesmotic screws for repair of a diabetic ankle fracture'. Together they form a unique fingerprint.

  • Cite this