The Frequency of Major and Minor Amputations in Patients with Diabetic Foot | [Pakistan Journal of Medical and Health Sciences • 2023]

Author(s):

1. GUL MUHAMMAD: HBS Medical & Dental College Islamabad, Pakistan

2. IFTIKHAR AHMED: Akhter Saeed Medical College, Rawalpindi, Pakistan

3. ADEEL UR REHMAN KANDAN: HBS Medical & Dental College Islamabad, Pakistan

4. MUHAMMAD FAISAL BACHA: Akhter Saeed Medical College, Rawalpindi, Pakistan

5. WAJEED GUL BANGASH: Islamic International College, Pakistan

6. MUHAMMAD NOAMAN: Akhter Saeed Medical College, Rawalpindi, Pakistan

7. SHAHID MAHMOOD: Akhter Saeed Medical College, Rawalpindi, Pakistan

Abstract:

Introduction: Diabetic foot (DF) is the main cause of non-traumatic lower extremity amputations. Major and minor amputations in diabetic foot disease are benchmark indicators of natural history and prognosis of disease. This study will help to prevent DF complications and improve care of diabetes foot. Objectives: To determine the frequency of major and minor amputations and the factors responsible for patients with diabetic foot coming in surgical OPD. Methods: All the patients who presented in hospital with diabetic foot ulcer were included in this study from 01-11-2019 to 3010-2020. One hundred and forty patients of either gender with age between 20 to 80 years with diabetic foot ulcers of any grade were enrolled in the study. Frequency of minor and major amputations was measured. Results: Out of three hundred and twenty patients, 16.4% (n=69/320) patients underwent lower limb amputations. Minor amputations were made in 12.1% (n=51/320) and major were made in 4.3% (n=18) of patients. Frequency of amputations was significantly higher in older age groups (61-80 years), patients with longer disease duration (>10 years), with poor glycemic control (HBA1-C>8.0) and patients with higher grades of ulcers (grades III and IV) (P0.05). Conclusions: A significant percentage of patients with diabetic foot ulcers underwent lower limb amputations, which was significantly associated with older age, longer disease duration, poor glycemic control and higher grades of ulcers.

Page(s): 469-471

DOI: 10.53350/pjmhs2023171469

Published: Journal: Pakistan Journal of Medical and Health Sciences, Volume: 17, Issue: 1, Year: 2023

Keywords:

Diabetic foot , Lower Limb Amputation , diabetic ulcers

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