Complications of Foot and Ankle Fractures in Diabetics

Patients with diabetes have an increased risk of both foot and ankle fractures. Patients with mild disease may be managed similarly to the population with no diabetes, although patients with advanced diabetes are likely to require more robust fixation with prolonged periods of non-weight-bearing. All patients with diabetes should be screened for peripheral neuropathy, as this is a marker for poor outcomes following both surgical and nonsurgical management. The overall goal of treatment is to achieve a stable, plantigrade foot that fits into normal footwear, supports functional ambulation, and avoids ulceration.