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The Avoidance of Soft Tissue Complications Following Treatment of Pott's Fractures with Comminuted Lateral Malleolus in Diabetic Patients through a Minimal Invasive Surgery

Maaty MT, Khalek MA

Background: Diabetes mellitus (DM) is a well recognized risk factor for infection. The Infection rates in diabetic patients undergoing open reduction and internal fixation of ankle fracture can be as high as 60%.

Methods: Between February 2011 and June 2013, this prospective study was performed in 20 patients presented by bimalleolar pott's fracture in diabetic patients with comminuted fracture of the lateral malleolus. The patients underwent internal fixation through minimal incisions.

Results: Out of twenty cases with pott's fractures treated with a minimal invasive surgery, 19 lateral malleolus united and 20 medial malleolus. According to skin condition, only two patients had superficial early postoperative infection.

Conclusions: The advantage of this surgery is the avoidance of soft tissue complications through minimal incisions with minimal risk of infection with high rate of bony union and more cosmetic.