Study of Surgical Management of Diabetic Foot in Telangana Population

  • Khaja Abdul Muqeet MediCiti Institute of Medical Sciences, Hyderabad, Telangana, India
  • P Suresh MediCiti Institute of Medical Sciences, Hyderabad, Telangana, India
Keywords: Amputations, Diabetic foot ulcers, Grafting, Telangana

Abstract

Introduction: The foot is highly entity to cope with a large degree of repetitive stress. Fatty tissue on the plantar surface and a thickened dermis and epidermis cushion and absorb repeated forces of compression, torsion, and shear during locomotion and standing. Materials and Methods: Eighty-nine patients between 35 and 65 years visiting MediCiti Institute of Medical Science, Ghanpur, Medchal-501401, Telangana, suffering from diabetic foot were selected for study. The patients belonged to middle socioeconomic status; due to illiteracy and poverty, they were not regularly taking antidiabetic drugs. Results: Clinical manifestations were the duration of onset of diabetic was 23 (25.8%) newly diagnosed, 17 (19.1%) had 1–5 years, and 49 (55%) had >5 years. Duration of diabetic foot ulcers was 21 (23.5%) had >4 weeks, 39 (43.8%) had 4–52 weeks, and 29 (32.5%) had >52 weeks. Anatomical sites were 44 (49.4%) had forefoot, 12 (13.4%) had mid foot, 9 (10.1%) had hind foot, 24 (26.9%) had whole foot, and foot affected were 45 (50.5%) right foot, 19 (21.3%) left foot, and 25 (28%) both foot. Types of ulcer were as follows: 52 (58.4%) were neuropathic, 26 (29.2%) had ischemic, 4 (4.49) had neuroischemic, and 7 (7.86%) was unclassified; Wagen’s classification was as follows: 3 (3.37%) had Stage I, 32 (35.9%) had Stage II, 26 (29.2%) had Stage III, 13 (14.6%) had Stage IV, and 15 (16.8%) Stage V. Types of operations were as follows: 33 (37%) had debridement, 44 (49.4%) had lower limb amputation, 23 (25.8%) had minor amputation, 21 (23.5%) had major amputation, 5 (5.6%) had skin grafting, and 7 (7.86%) had incision and drainage. Conclusion: A surgeon the having complete knowledge of foot anatomy can justify the proper management of diabetic foot surgery. Early recognition and proper treatment are mandatory to avoid poor outcomes. Surgery must always be combined with antibiotics and revascularization.

Author Biographies

Khaja Abdul Muqeet, MediCiti Institute of Medical Sciences, Hyderabad, Telangana, India

Assistant Professor, Department of General Surgery, 

P Suresh, MediCiti Institute of Medical Sciences, Hyderabad, Telangana, India

Associate Professor, Department of General surgery, 

Published
2019-05-30
Section
Articles