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Orthop Surg. 2013 Aug;5(3):203-8. doi: 10.1111/os.12047.

Effect of the blood HbA1c level on surgical treatment outcomes of diabetics with ankle fractures.

Author information

1
Department of Orthopaedic Surgery, University of Toledo Medical Center, Toledo, Ohio 43614, USA. jiayong.liu@utoledo.edu

Abstract

OBJECTIVE:

To investigate whether blood haemoglobin A 1c (HbA1c) levels was predicative of diabetic patients' responsiveness to surgical treatment of ankle fractures.

METHODS:

The relationship between blood HbA1c levels and surgical treatment outcomes of 21 diabetic patients undergoing open reduction internal fixation (ORIF) for ankle fractures was analyzed with Pearson correlation testing and t testing. All patients were treated with ORIF using standard surgical techniques. Treatment outcomes were defined using radiological outcome, the American Orthopaedic Foot and Ankle Score (AOFAS) ankle-hindfoot scale score, surgical revision rate, and complication rate.

RESULTS:

HbA1c levels were found to have a statistically significant correlation with poor radiological outcomes (r = 0.547) and AOFAS ankle-hindfoot scores (r = -0.592). Additionally, though rates of poor radiological outcome, revision, and complication were high in the diabetic population as a whole, these rates were considerably higher among individuals with elevated HbA1c (≥6.5%) and considerably lower among individuals with lower HbA1c (<6.5%) levels.

CONCLUSION:

Blood HbA1c levels appear to be predictive of risk and complication rates in the surgical treatment outcomes of diabetic patients with ankle fractures.

KEYWORDS:

Ankle fracture; Diabetes mellitus; Hemoglobin A 1c

PMID:
24002838
PMCID:
PMC6583578
DOI:
10.1111/os.12047
[Indexed for MEDLINE]
Free PMC Article

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