Volume : VII, Issue : VIII, August - 2018

A CLINICAL STUDY OF DIABETIC FOOT AND ITS ASSOCIATION WITH PERIPHERAL VASCULAR OCCLUSIVE DISEASE

Dr K Manitha, Dr Harivadan Lukka

Abstract :

 Background: Diabetes mellitus is characterized by hyperglycemia over a prolonged period due to pathology in either the insulin secretion, insulin

action, or both. Worldwide, as of the recent 2018 data collected from the World Health Organization (WHO) around 422 million adults have
diabetes mellitus which is estimated to almost double by 2030 which is composed of mainly type 2 diabetes (85–90% of all cases). Early detection
of Peripheral arterial disease in asymptomatic diabetic patients reduces the morbidity and mortality. Hence the need for early detection and
diagnosis of peripheral arterial disease and evaluation in asymptomatic diabetic patients by formulating effective protocols to reduce the morbidity,
mortality involved in the diabetic patients.
Methods: Patients admitted and seen in out–patient department for diabetic foot ulcers between June 2017 and January 2018 in Department of
Cardiothoracic and Vascular surgery, Andhra Medical College and King George Hospital, Visakhapatnam, India were taken for study.
Results: 200 cases satisfying the inclusion criteria were taken up for the study from June 2017 and January 2018. Out of 200 patients, 98 patients
presented with ulcer in foot, 34 presented with gangrene of toe or foot. After clinical examination it was found that 33 patients had associated
neuropathy, 19 patients had ABI less than 0.3 and 26 patients had ABI in between 0.4 and 0.9. Patients with ulcer and gangrene foot and with ABI
less than 0.9 were admitted and evaluated with doppler study of lower limbs and Computed Tomography angiogram of both lower limb arterial
system. After getting proper consent, appropriate procedure was done for each patient. Wound deidement was done by General surgery
department in 33 cases, toe disarticulation in 17, fore foot amputations in 7, Below knee amputation in 6, above knee amputation in 4, Arterial
embolectomies for Acute Limb ischemia in 23, arterial thrombolysis in 7 patients with injection heparin. 5 patients underwent revascularization
procedures.
Conclusions: The prevalence of peripheral artery disease in patients with diabetic foot is significantly high i.e. 38 % as per this study. Males have a
higher predilection for developing peripheral vascular disease than females. The average age of presentation of PAD in diabetics is 40 –60 years.
The most common level of arterial occlusion in PAD associated diabetic foot is femoro–popliteal segment followed by distal tibial segments
followed by aorto iliac disease.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr K Manitha, Dr Harivadan Lukka, A CLINICAL STUDY OF DIABETIC FOOT AND ITS ASSOCIATION WITH PERIPHERAL VASCULAR OCCLUSIVE DISEASE, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-8 | August-2018


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