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Volume 12 Issue 3 ( July-September ) 2023

Original Articles

Evaluation of cases of diabetic foot ulcers and their surgical management
Dr. O.P. Singh, Dr. Nayanshi Singh, Dr. Himanshu Singh

Background: Diabetes mellitus has grown to pandemic proportions, affecting 194 million people worldwide. The present study was conducted to assess cases of diabetic foot ulcers and their surgical management. Materials & Methods: 85 patients of diabetic foot ulcers of both genderswere evaluated for the general physical, local examination and Wagner's classification. Results: Out of 85, males were 52 and females were 33. Presentation was gangrene in 20, cellulites in 17 and ulcer in 48 cases. Classification was grade 0 was seen in 3, grade 1 in 7, grade 2 in 13, grade 3 in 16, grade 4 in 20 and grade 5 in 26 patients. Bacteria isolated was staphylococcus aureus in 62%, anaerobic cocci in 25%, gram negative organisms in 10% and beta haemolytic streptococci in 3%. The difference was significant (P< 0.05). The management done was incision and drainagein 5, skin grafting in 8, amputation was 46, debridement in 24 and sequestrectomy in 2 patients. The difference was significant (P< 0.05). Conclusion: Glycemic management is crucial because diabetic foot ulcers are a typical consequence in poorly managed diabetics.

 
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