A Clinical Study of Surgical Complications and Management of Diabetic Foot
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: The prevalence of foot ulceration in the general diabetic population is 4–10%, being lower (1.5–3.5%) in young and highest (5–10%) in older patients. The lifetime risk for foot ulcers in diabetic patients is about 15%. The major adverse outcome of foot ulceration is amputation. Aim of the study was to analyze the risk factors leading to complication in diabetic foot infection and to study the outcome of treatment modalities and suggest a patient friendly hospital management strategy for diabetic foot. Material and Methods: This study was conducted in 100 patients of diabetic foot in the Department of general surgery at Santhiram medical college and hospital, Nandyal, during the period of Aug 2012 to Oct 2015. Results: Commonest presenting lesion was ulcers (64%), followed by cellulitis (20%), and gangrene (16%). Trauma is the initiating factor in most of the cases. Out of which 82% of patients had infection. Most common microorganism grown from wound discharge culture was staphylococcus aureus (56%), 86% of patients were treated with wound debridement, 14% of patients underwent amputation. Prognosis was good in all patients. Conclusion: Diabetes Mellitus is a lifelong disease and diabetic foot complications can be life threatening, physically incapacitating, costly to treat and result in extensive morbidity. Screening, proper evaluation, early identification and treatment of the ‘at risk foot’ can reduce complications
Authors and Affiliations
A Ravitheja, K J yothirmayee, P Chiranjeevi Reddy, M Dushyanth
Keywords
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