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Study of Lower Extremity Amputation in Diabetic Patients

Franal H. Shah, Assistant Professor, Department of General Surgery, M. P. Shah Medical College, Jamnagar Gujarat 361008, India , Franal H. Shah1 , Mehul M. Tadvi2 , Sandip S. Bharai3

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New Indian Journal of Surgery 9(6):p 725-730, Nov-Dec 2018. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9618.6

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Abstract

  Lower limb amputation is one of the most feared complications of diabetes preceded by foot ulcers. Amputations among people with diabetes are more common than in non-diabetic patients. This retrospective study included 50 random cases of lower extremity amputation done in diabetic patients admitted and treated in department of surgery, M.P. Shah medical college, Jamnagar during period of November 2015 to October 2017.Their age ranged  between 24-87 years with a mean age of 58.86 years. There were 34 males and 16 females. All 50 patients were admitted previously, out of them 27 patients had history of previous any amputation and 23 patients treated conservatively. The majority of patients presented with alone or combination with infected/ non healing ulcer, cellulitis and gangrene. The primary healing occur in 18 patients, healing occur after
refashioning in 10 patients, after split skin grafting in 4 patients, required proximal amputation in 12 patients and 6 patients expired. The mean duration of hospital stay was 42.18 days±27.48 with no significant difference in the hospital stay in relation to the level of the amputation. Transmetatarsal, Transtibial and Transfemoral amputations are the main types of lower extremity amputations in diabetic patients. Transtibial amputations are associated with higher rates of complications, reoperation, delayed healing and mortality. 

Keywords: Diabetes; Lower Extremity Amputation.

 

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9618.6

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