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Management of Diabetic Foot at Tertiary Care Hospital

Pramod* , Pramod* , Sandeep Patil**

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New Indian Journal of Surgery 8(1):p 75-80, January - March 2017. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8117.15

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Abstract

Introduction: Quite often, Diabetic patients present with uncontrolled infection, ulcerations leading to compromise of part of foot. Thus there was a need to study various measures to prevent these complications.

Methodology: All operative and medical management findings were noted and patients were followed up at intervals. All the data received during this procedure are placed in a special pro-forma that is prepared for the said purpose.

Results: Out of 50 cases, 21 cases couldn’t turn up for a follow up and so the prognosis could not be evaluated for these cases. Satisfactory local healing was achieved in 11 cases including 2 cases of gradel and 9 cases of toe amputation after 6 weeks of follow up. 1 case of transmetatarsal amputation came for check-up and a satisfactory healing with no pressure complications was noted at the time of follow-up.

Conclusion: HbA1c control was found to be poor (>8%) in a very high percentage of patients conforming the risk relation between glycosylated hemoglobin and diabetic foot infections.

 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8117.15

Keywords

Diabetic Foot; Amputation; Management.

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