PMID- 19524237 OWN - NLM STAT- MEDLINE DCOM- 20100709 LR - 20090720 IS - 1879-0267 (Electronic) IS - 0020-1383 (Linking) VI - 40 IP - 8 DP - 2009 Aug TI - Results after immediate operations of closed ankle fractures in patients with preoperatively neglected type 2 diabetes. PG - 894-6 LID - 10.1016/j.injury.2009.01.124 [doi] AB - Many studies suggest diabetes influences ankle fracture surgical outcomes, but results after immediate surgical treatment 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 operation on CAF in 36 PND2 patients with those of a matched group of non-diabetic patients, using a case-controlled study. Outcomes were complications and ankle scores during the first 12 months of treatment. Compared with non-diabetic patients, immediate surgical fixation of the CAF in PND2 patients showed similar ankle scores. Immediate surgery in PND2 patient with CAF may increase the risk of postoperative infection compared to non-diabetic controls, but the difference was not statistically significant and did not worsen the final prognosis. These findings suggest that immediate surgical intervention is appropriate in CAF patients with type 2 diabetes. FAU - Guo, Jiong Jiong AU - Guo JJ AD - Department of Orthopedics, The First Affiliated Hospital of Soochow University, Suzhou, China. guojiongjiong@suda.edu.cn FAU - Yang, Huilin AU - Yang H FAU - Xu, Yaozeng AU - Xu Y FAU - Wang, Genlin AU - Wang G FAU - Huang, Lixin AU - Huang L FAU - Tang, Tiansi AU - Tang T LA - eng PT - Journal Article DEP - 20090612 PL - Netherlands TA - Injury JT - Injury JID - 0226040 SB - IM MH - Ankle Injuries/complications/epidemiology/*surgery MH - Case-Control Studies MH - China/epidemiology MH - Diabetes Mellitus, Type 2/*complications MH - Female MH - Fracture Fixation, Internal/methods MH - Fractures, Closed/complications/epidemiology/*surgery MH - Humans MH - Male MH - Middle Aged MH - Risk Factors MH - Treatment Outcome EDAT- 2009/06/16 09:00 MHDA- 2010/07/10 06:00 CRDT- 2009/06/16 09:00 PHST- 2008/11/05 00:00 [received] PHST- 2009/01/19 00:00 [accepted] PHST- 2009/06/16 09:00 [entrez] PHST- 2009/06/16 09:00 [pubmed] PHST- 2010/07/10 06:00 [medline] AID - S0020-1383(09)00128-4 [pii] AID - 10.1016/j.injury.2009.01.124 [doi] PST - ppublish SO - Injury. 2009 Aug;40(8):894-6. doi: 10.1016/j.injury.2009.01.124. Epub 2009 Jun 12.