Volume : V, Issue : XI, November - 2015

Study of various surgical Modalities of management of Diabetic Foot.

Dr. Priyank Shah, Dr. Shashwat Shah, Dr. Mihir Karathia, Dr. Nilesh Patel, Dr. Aastha Trivedi, Dr. Archna Dalal

Abstract :

 50 cases of diabetic foot lesions were examined. In the present study 22(44%) out of 50 were from middle age group i.e. in the 4th and 5th decade of their life. Diabetic foot lesions are commonly found in the middle aged group. In the present study,44(88%) are males and 6(12%) are females. Higher incidence of male diabetic foot lesions is mainly due to the trauma and smoking. Most of the patients presented with forefoot involvement (56%). Sensory neuropathy was the most frequent component. 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 and amoxicillin with clavulanic acid were commonly used for diabetic foot lesions along with metronidazole and aminoglycosides. The main presenting feature was cellulitis of the foot or plantar abscesses and in some patients; wet gangrene . 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. Priyank Shah, Dr. Shashwat Shah, Dr. Mihir Karathia, Dr. Nilesh Patel, Dr. Aastha Trivedi, Dr. Archna Dalal / Study of various surgical Modalities of management of Diabetic Foot. / Indian Journal of Applied Research, Vol.5, Issue : 11 November 2015


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