Abstract Issue

Volume 8 Issue 1 (January-June) 2019

Original Articles

Evaluation of surgical management of diabetic foot ulcers cases
Dr. Ashutosh Gupta

Introduction: Diabetic foot ulcers can have serious consequences if left untreated, including amputation of the affected limb. To prevent this, it is important to practice proper foot care, check for signs of an ulcer, and seek medical attention if an ulcer is detected. With proper treatment, the majority of DFUs can be healed without the need for amputation. Materials and Methods: The present study comprised of 88 patients of diabetic foot ulcers of both genders. The consent was obtained from all enrolled patients. Data such as name, age, gender etc. was recorded. A detailed history was obtained regarding the duration of the diabetes. Vascular evaluation was performed checking capillary refill and distal pulses of the foot which included dorsalis pedis, posterior tibial, popliteal and femoral arteries. Neurological examination such as light touch, pinprick, position sense and vibration sense was recorded. Results: management done was incision and drainage in 7, transmetatarsal in 10, amputation was 42, debridement in 9, below knee amputation in 8, above knee amputation in 6 and Rye’s procedure in 6 patients. The difference was significant (P< 0.05). Conclusion: Foot ulcers in diabetic patients represent a significant burden, often leading to lower extremity amputation. Prioritizing diabetes education is crucial. As prevention outweighs the cure, effective glycemic control and education are paramount in reducing diabetic foot disease.

 
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