Volume : III, Issue : II, February - 2013

Study of Efficacy of Various Modalities in Treatment of Diabetic Foot Ulcer

Dr. Asma K, Dr. Reina K, Dr. Pradeep S

Abstract :

100 cases of diabetic foot lesions were examined. Age, sex and duration of diabetes seen in this study were comparable with the other series. Males are affected more commonly than females with ratio of 1.5:1. The incidence of foot problem is more in the 50 to 60 years age group than the rest in our study. 24 patients were found to have diabetes for more than 4 years. Most of the patients presented with fore foot involvement (56%). Sensory neuropathy was the most frequent component. Pure sensory neuropathy was seen in 15 patients while mixed sensory and motor neuropathy was seen in 15 patients, most with abscesses and gangrene. Mixed infection with both aerobes and anaerobes was the most common. Nosocomial infections were seen in patients having prolonged duration of stay following surgery. Rapid control of infection led to decreased insulin requirement and rapid glycemic control contained the spread of infection. Third generation cephalosporins were commonly used for diabetic foot lesions along with metronidazole and aminoglycosides. The main presenting feature was gangrene of the foot or toes or plantar abscesses. Surgical deidement with or without Ray amputation of the gangrenous toes was the most commonly done surgical procedure. Transmetatarsal or Syme’s amputation was less commonly performed. The mean duration of recovery was 4 weeks. Higher education regarding foot care forms an integral part of surgical management.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Asma K,Dr. Reina K,Dr. Pradeep S Study of Efficacy of Various Modalities in Treatment of Diabetic Foot Ulcer Indian Journal of Applied Research, Vol.III, Issue.II February 2013

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