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BioMed Research International
Volume 2014, Article ID 153146, 7 pages
Research Article

Diabetic Ankle Fractures: A Review of the Literature and an Introduction to the Adelaide Fracture in the Diabetic Ankle Algorithm and Score

1Department of Orthopaedics and Trauma, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville West, SA5011, Australia
2South Manchester University Hospital, South Moor Road, Wythenshaw, Manchester, UK
3The Queen Elizabeth Hospital, Woodville West, SA5011, Australia

Received 21 April 2013; Revised 16 October 2013; Accepted 17 October 2013; Published 5 January 2014

Academic Editor: Padhraig O'Loughlin

Copyright © 2014 Joshua Yee et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Diabetics who have acquired an ankle fracture may be easily missed given their atypical presentation. As such, it is not infrequently seen that these patients are either initially misdiagnosed or ineffectively managed resulting in unnecessary hospital length of stay and procedures. Multiple review articles and retrospective studies have been previously published in the literature, but complete guidelines to assist in accurate diagnosis and cost-effective management for this complex problem do not currently exist. Through a critical analysis of the current literature, a proposed diagnostic and management algorithm and scoring system that can be used to quantify risks in the surgical management are presented for consideration.