{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T11:19:45Z","timestamp":1773832785613,"version":"3.50.1"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T00:00:00Z","timestamp":1660867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Perioperative management aims to reduce surgical complications by controlling blood sugar levels and comorbid factors in type 2 diabetes mellitus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>\n                      An elderly Indonesian female, 60 years old, complained of wounds on the base of both big toes for 3 months, paresthesia, and fever. The patient also had a left femoral close fracture after falling out of bed and feeling pain in the left leg. The patient had a medical history of type 2 diabetes mellitus and hypertension for 15 years. Physical examination revealed hypertension (150\/80 mm Hg), pulse rate of 102\u00d7\/min, fever (38 \u00b0C), obesity class III (BMI = 42.6 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , body height = 147 cm, body weight = 92 kg), wound in both digiti I pedis (right = 2 \u00d7 2 cm, left = 3 \u00d7 3 cm), ankle-brachial index (ABI) of 1.03 (right) and 1.07 (left), and lower extremity sensory of gloves shocks paresthesia. Laboratory examination showed an HBA1c of 8.2 %, HBsAg reactive, and a left femoral X-ray showed a subtrochanteric fracture sinitra. Patients delayed surgery for &gt;30 days post-fracture because of increased blood glucose levels and hyponatremia. The patient was successfully verified, and the outcomes were excellent (blood glucose and blood pressure expected).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Perioperative management of diabetes includes surgical risk assessment, diabetes management pre-intra-post-surgery with blood glucose target levels of 140\u2013180 mg\/dL and surgical anticipation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Perioperative management focuses on blood sugar control, insulin dosing accuracy, and managing multiple comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107536","type":"journal-article","created":{"date-parts":[[2022,8,23]],"date-time":"2022-08-23T09:02:10Z","timestamp":1661245330000},"page":"107536","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Perioperative management of closed fracture subtrochanteric femur sinistra in type 2 diabetes mellitus with multiple comorbid"],"prefix":"10.1097","volume":"98","author":[{"given":"Nadya Mutiara","family":"Viryani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soebagijo Adi","family":"Soelistijo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R2-61-20260309","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1097\/AOG.0000000000001332","article-title":"Current therapies for the medical management of diabetes","volume":"127","author":"Inzucchi","year":"2016","journal-title":"Obstet. Gynecol"},{"key":"R3-61-20260309","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s00223-021-00894-5","article-title":"Vascular complications in individuals with type 2 diabetes mellitus additionally increase the risk of femoral neck fractures due to deteriorated trabecular microarchitecture","volume":"110","author":"Cirovic","year":"2022","journal-title":"Calcif. Tissue Int"},{"key":"R4-61-20260309","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1007\/s00198-019-05224-y","article-title":"Diabetes and fractures: new evidence of atypical femoral fractures?","volume":"31","author":"Rasmussen","year":"2020","journal-title":"Osteoporos. Int"},{"key":"R7-61-20260309","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J.Surg. (London, England"},{"key":"R8-61-20260309","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1302\/2058-5241.6.210049","article-title":"Reverse total shoulder arthroplasty (RTSA) versus open reduction and internal fixation (ORIF) for displaced three-part or four-part proximal humeral fractures: a systematic review and meta-analysis","volume":"6","author":"Suroto","year":"2021","journal-title":"EFORT Open Rev"},{"key":"R10-61-20260309","doi-asserted-by":"crossref","first-page":"176","DOI":"10.20473\/fmi.v55i3.15495","article-title":"Acceleration of bone fracture healing through the use of natural bovine hydroxyapatite implant on bone defect animal model","volume":"55","author":"Khatib","year":"2019","journal-title":"Folia Med.Indonesiana"},{"key":"R11-61-20260309","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1007\/s00595-009-3996-7","article-title":"Preoperative evaluation and a risk assessment in patients undergoing abdominal surgery","volume":"40","author":"Neragi-Miandoab","year":"2010","journal-title":"Surg. Today"},{"key":"R12-61-20260309","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.anclin.2015.10.008","article-title":"Preoperative evaluation of patients with diabetes mellitus","volume":"34","author":"Miller","year":"2016","journal-title":"Anesthesiol. Clin"},{"key":"R13-61-20260309","doi-asserted-by":"crossref","first-page":"6","DOI":"10.20473\/cimrj.v2i1.23806","article-title":"A type 2 diabetes patient who suffered with Fournier's gangrene","volume":"2","author":"Husna","year":"2021","journal-title":"Curr.Intern.Med.Res.Pract.Surabaya J"},{"key":"R14-61-20260309","doi-asserted-by":"crossref","first-page":"i18","DOI":"10.1093\/bja\/aet381","article-title":"Glycaemic control in the perioperative period","volume":"111","author":"Sebranek","year":"2013","journal-title":"Br. J. Anaesth"},{"key":"R15-61-20260309","doi-asserted-by":"crossref","first-page":"41","DOI":"10.7861\/clinmed.2021-0355","article-title":"New guidance on the perioperative management of diabetes","volume":"22","author":"Grant","year":"2022","journal-title":"Clin. Med"},{"key":"R16-61-20260309","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1007\/s11892-015-0700-8","article-title":"Perioperative management of patients with diabetes and hyperglycemia undergoing elective surgery","volume":"16","author":"Thompson","year":"2016","journal-title":"Curr. Diab.Rep"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222007829?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222007829?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107536","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T09:10:56Z","timestamp":1773047456000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107536"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":12,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.107536","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9]]}}}