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The purpose of this study was to compare post\u2010operative outcomes after open reduction and internal fixation (ORIF) for calcaneus fracture in patients with complicated DM, uncomplicated DM, and patients without DM. A commercially available de\u2010identified database was queried for all calcaneus fracture diagnoses undergoing ORIF from 2010 to 2021. The patients were separated into three groups for analysis: patients without DM (10,951, 82.6%), uncomplicated DM (1,500, 11.3%) and complicated DM (802, 6.1%). At 1 year, post\u2010operative adverse events were assessed among the three groups. The odds of adverse event(s) for each group were compared between the three groups with and without characteristic matching. In the unmatched cohorts, patients with complicated DM, when compared with patients without DM and patients with uncomplicated DM, had significantly higher rates of all adverse events with exception of DVT. Rates of CNA were significantly higher in patients with complicated DM compared with no DM (OR 107.7 (CI 24.83\u2013467.6) <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001) and uncomplicated DM (OR 44.26 (CI 3.86\u2013507.93) <jats:italic>p<\/jats:italic>\u2009=\u20090.0002). After matching, non\u2010union, AKI, sepsis, surgical site infection, and wound disruption were higher in patients with complicated DM compared with patients without DM. There were no significant differences in the three groups with regard to reoperation, DVT, MI, pneumonia, or below the knee amputation. Patients with DM who underwent ORIF for calcaneus fracture experienced higher rates of post\u2010operative adverse events compared with those patients without DM.<\/jats:p>","DOI":"10.1111\/wrr.13169","type":"journal-article","created":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T09:04:35Z","timestamp":1711098275000},"page":"437-444","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Outcomes of open reduction and internal fixation of calcaneus fractures: A database study comparing patients with and without diabetes"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8425-5267","authenticated-orcid":false,"given":"Matthew J.","family":"Johnson","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of Texas Southwestern Medical Center  Dallas Texas 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