Management of diabetic foot disease in Eastern Ind

Authors: Partha Sarathi Ghosh Madhumita Mukhopadhyay Sankar Das Chattopadhyay Nisith Chandra Karmakar Rina Mukherjee Soumya Ghoshal Sanjay Mondal

Publish Date: 2016/11/08

Volume: 88, Issue: 5, Pages: 311-313

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Abstract

With the availability of insulin therapy diabetes is no longer a fatal disease and with the increased life expectancy in diabetic patients long term complications have become more common Diabetic foot is the most common complication of diabetes mellitus presenting for surgical management The aim of this study is to evaluate and suggest how to manage the different lesions of diabetic foot according to Wagner’s classificationand compare outcomes ofthe surgical managementThis prospective observational study was conducted at a tertiary care teaching hospital in West Bengal India over an eighteenmonth period 50 consecutive patients with diabetic foot disease were included in the study Data collected included age sex socioeconomic status duration and type of diabetes Wagner’s Classification examination findings presence of neuropathy presence of ischaemia investigations including blood sugar profile renal functions lipid profile glycosylated haemoglobin swabs from wound / ulcer Arterial Doppler and XRay of the affected foot The patients were evaluated and managed by classifying their disease according to Wagner’s classification for diabetic foot diseaseAge ranged from 33 years to 75 years with the maximum number of cases being in the age group of 5160 years There were fourty two 84 males and eight 16 females Neuropathy was present in 54 and ischaemia in 34 of the patients The most common presentation was an ulcer followed by an abscess Maximum patients presented with Wagner’s Grade 2 lesions In this study 14 patients responded to conservative treatment with antibiotics 42 patients underwent debridement 12 required disarticulation and 4 required major amputations

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