Triple assessment for addressing trio-pathy in diabetic foot – Rapid screening tool for amputation prevention in govt. Hospital setting
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 3
Abstract
Introduction The present study was done to perform foot examination using Amit Jains Triple Assessment screening tool on inpatients in surgical wardsMaterials and Methods A descriptive retrospective study was done at Gajra Raja Medical College Gwalior MP in department of surgery during a period from April 2018 to June 2018 on patients of diabetic foot admitted in all six units of surgical wardsResults A total of 72 patients were included in this study as per search in case records Majority of patients had diabetes of more than ten years duration and males were more commonly affected All patients had diagnosis of diabetic foot with varied spectrum of associated lesions alone or in combination Surgical debridement 6666 was the commonest procedure done in these patients The affected foot of all patients was examined with component assessment of feeling pedal pulses done in 8611 cases and testing for sensation was done in 25 cases In contralateral foot 58 patients were examined in similar percentage pedal pulses were examined and foot sensations were not tested in any of themConclusion Despite foot examination being of paramount importance it is often incomplete and inadequate in diabetic foot subjects as is also evident from observations of present study Amit Jains Triple assessment of diabetic feet is a rapid inexpensive screening tool for obtaining basic foot information in order to segregate at risk feet and offer preventive care against amputation Keywords Amit Jain Assessment Triple Diabetic foot Triopathy Screening High risk foot
Authors and Affiliations
Manisha Singh, Rajesh Prajapati, Devesh Verma
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