AbstractBackground: Diabetes mellitus is an iceberg disease.
It is a worldwide problem. The incidence of diabetes
mellitus is increasing globally. Patients with diabetes
have a 12% to 25% life time risk of developing a
foot ulcer.A majority of diabetic patients develop
foot ulcers in one point of time or other during the
course of their illness. A significant number of such
patients will require long-term hospital treatment
and amputations.
Methods: This prospective observational study
was conducted by the Department of General
Surgery at Mahatma Gandhi medical college and
research institute from Jan 2017 to Jan 2018. A total
of 50 patients were included in the study.The clinical
examination was done and all patients underwent
routine laboratory investigations and few with
relevant special investigations (Doppler study) if
necessary. Wound culture and sensitivity was done
in all cases.
Results: The maximum 28(56%) were in the age
group of 41-60 years followed by 16 (32%) from the age
group 61-80 years. The mean age of the patients was
54.73 (SD12.81).The most common site of lesion in the
diabetic foot was dorsum of foot which was in about
18 patients (36%) followed by whole fore foot.Most
of the patients(34%) were managed conservatively by
slough excision ,regular dressing and antibiotics with
diabetic control.
Keywords: Amputation; Diabetic foot; Ulcer.