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prolonged union time of 163% in patients with diabetes following ankle fracture. urrent options for ankle fracture repair following failed ORIF include nonoperative management in a CROW boot, repeat ORIF, staged reconstruction with antibiotic beads, external fixation, ankle fusion, or amputation. Each of these options, however, is not without complication. Given the complex nature of diabetic fracture healing, it is important to develop a protocol for salvage surgery following failed primary ankle ORIF. In this article, we present two cases of failed ankle ORIF and provide a simple algorithm for secondary repair of such fractures.
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Berg et al. (2022) studied this question.
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