Marengo Asia Hospital (Formerly Sunshine Global Hospital), Vadodaranr. Shreyas Vidhyalay, behind ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390004 / Marengo Asia Hospital (Formerly Sunshine Global Hospital), SuratDumas Rd, beside Big Bazar, Piplod, Surat, Gujarat 395007
Trauma & Reconstruction
Diabetic Ankle Fracture: A Different Animal
A failing diabetic ankle fracture in a neuropathic patient, scored and rescued with the centre's 'Double Concept' — longer, stronger, spanning fixation over a simple repair.
Patient Age
40 Years
MECHANISM
Fall
PRESENTATION
Failing fracture at 6 weeks
APPROACH
Left
01
Clinical Rationale
A 40-year-old diabetic lady with known neuropathy sustained a left ankle fracture that was failing by six weeks after initial fixation. Scored on the centre's ADAF system at 6 (neuropathy, HbA1c 10, nephropathy, obesity), she was a high-risk failing case.
02
Surgical Approach
Management followed the 'Double Concept' — longer, stronger fixation with combinations and spanning constructs, plus double immobilisation, delayed weight-bearing and brace protection. In a failing diabetic case like this, fusion was preferred over simple fixation.
02
Imaging & Progression
Pre-operative imaging, intra-operative views and post-operative results. Each slot maps to a CMS image field — drop in the matching consented file from the case folder.
#1
Diabetic ankle fracture is a different animal requiring its own protocol.
#2
Careful pre-operative evaluation must rule out the presence of neuropathy.
#3
Established neuropathy requires the 'Double Concept' — longer, stronger, spanning fixation.
#4
Double immobilisation, delayed weight-bearing and bracing are vital; fusion is preferred in failing cases.
04
Clinical Care Points
RIGHT SIDE
- i) ADAF risk scoring (total 6)
ii) Double-Concept spanning fixation
iii) Double immobilisation + delayed weight-bearing
iv) Fusion preferred over fixation
LEFT SIDE
-
| 35+ YEARS OF TRUST, CARE & EXCELLENCE
Diabetic Ankle Fracture: A Different Animal
A failing diabetic ankle fracture in a neuropathic patient, scored and rescued with the centre's 'Double Concept' — longer, stronger, spanning fixation over a simple repair.
A 40-year-old woman with diabetes and established peripheral neuropathy sustained a fracture of the left ankle. The fracture was initially treated with conventional plate-and-screw fixation, but the construct failed within six weeks. By the time she reached the specialist team, the ankle was unstable and the combination of neuropathy, poor diabetic control and obesity made repeat fixation especially risky.
%201.png)