Preoperative and Perioperative Management of Diabetics Undergoing Elective Foot and Ankle Surgery.

Patrick Cole McGregor, Ryan LeDuc

Journal: The Orthopedic clinics of North America 2023;54(3):341-348

PMID: 37271562

Full Text on Elsevier Science View on PubMed

Abstract

Diabetics are a highly comorbid population with an elevated risk profile when undergoing surgery. Proper preparation and management of modifiable risk factors can optimize outcomes in diabetics. A multidisciplinary approach to preoperative optimization, including surgeons, primary care providers, and anesthesiologists, ensures diabetic patients receive comprehensive evaluation before elective surgery. Orthopedic surgeons must understand preoperative optimization goals as they pertain to nutrition, glycemic control, and cardiovascular disease in diabetic patients.

Address: Loyola Medical Center, 2160 South 1st Avenue, Maguire Center, Suite 1700, Maywood, IL 60153, USA. Electronic address: [email protected].; Loyola Medical Center, 2160 South 1st Avenue, Maguire Center, Suite 1700, Maywood, IL 60153, USA.

DOI: 10.1016/j.ocl.2023.02.006

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MeSH Terms: Humans, Ankle, Diabetes Mellitus, Risk Factors, Elective Surgical Procedures, Comorbidity