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Updated: May 16, 2026

Assessment of Bone Fracture Healing Using Micro-Computed Tomography

Assessment of Bone Fracture Healing Using Micro-Computed Tomography

Published on: December 9, 2022

Diabetic calcaneal fractures.

Bryan A Sagray¹, John J Stapleton, Thomas Zgonis

¹Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive MSC 7776, San Antonio, TX 78229, USA.

Clinics in Podiatric Medicine and Surgery

|November 21, 2012

Summary

Diabetic calcaneal fractures are complex injuries with high complication risks like infection and limb loss. Careful management is crucial to improve outcomes for these severe foot fractures.

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Last Updated: May 16, 2026

Assessment of Bone Fracture Healing Using Micro-Computed Tomography

Assessment of Bone Fracture Healing Using Micro-Computed Tomography

Published on: December 9, 2022

Area of Science:

Orthopedic surgery
Diabetic foot complications
Traumatology

Background:

Calcaneal fractures in diabetic patients present unique challenges.
Increased complication rates, including poor wound healing and infection, are common.
These complications can lead to significant morbidity and potential limb loss.

Purpose of the Study:

To review the management strategies for calcaneal fractures in the diabetic population.
To discuss the specific complications associated with these injuries.
To evaluate the outcomes of treating diabetic calcaneal fractures.

Main Methods:

Review of current literature on diabetic calcaneal fracture management.
Analysis of complication rates and risk factors.
Evaluation of conservative and surgical treatment outcomes.

Main Results:

Diabetic calcaneal fractures are associated with higher complication rates than in non-diabetic patients.
Complications include delayed healing, deep infections, malunion, and Charcot neuroarthropathy.
Effective management strategies are essential to mitigate risks and improve limb salvage.

Conclusions:

Management of calcaneal fractures in diabetics requires meticulous attention due to elevated risks.
Early and appropriate intervention can reduce morbidity and prevent limb loss.
Further research into optimized treatment protocols is warranted.