[Foot- and ankle trauma in a diabetic patient].
If confronted with a neuropathic patient with an acute foot-ankle trauma, including fracture, this patient is by definition Eichenholtz stage 0. This is of major importance for the treatment. Whereas the surgical handling of fractures does not differ from ordinary fracture treatment, the subsequent treatment of sprains and fractures with immobilisation and a non-weight bearing period is significantly prolonged, frequently doubled, in diabetic patients. Follow-up includes frequent ambulatory controls including X-rays. If the neuroarthropathy progresses, the period of treatment is adjusted accordingly.
Falborg
Bettina
B
Ortopaedkirurgisk Afdeling, Hvidovre Hospital, DK-2650 Hvidovre, Denmark. bettina.falborg@hvh.regionh.dk
Ebskov
Lars
L
D000328:Adult; D016512:Ankle Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D017719:Diabetic Foot / Q000150:complications; D003929:Diabetic Neuropathies / Q000150:complications*; D005260:Female; D018409:Foot Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011859:Radiography; D014946:Wound Infection / Q000209:etiology