Abstract

Objective: To study the surgical management and complications of diabetic foot Methods: Hospital based prospective study was carried out among 50 known diabetic cases with diabetic foot ulcer. These cases were studied in detail clinically. Routine investigations along with specific investigations including fasting blood sugar, post prandial blood sugar, HbA1C were done in all cases. The cases were treated conservatively by Glycemic control and Dressings. Surgical interventions such as debridement and amputation were done as per the need. The cases were followed up for 3 months’ period for every 2 weeks’ interval. Results: Majority were 51-60 years(36%). Males were more(58%) than females(42%). History of trauma was in 68%. Most common site of lesion was dorsum of foot(30%). Majority(40%) had diabetes since last five years. Neuropathy was in 36% and bone infection in 16%. Most common causative organism was staph aureus(26%). Eleven patients were managed with conservative management. 72% required debridement. Disarticulation of toes was in 26%. 10% required major amputation. Split thickness skin graft was required in 30%. Some patients required a combination of therapy. Majority (34%) had 21-40 days of hospital stay followed by 1-20 days in 28% of the cases. Size of ulcer and blood sugar level at the time of admission were significantly associated with duration of hospital stay. Conclusion: Increased blood sugar level at time of admission and greater size of ulcer are important risk factors for prolonged hospital stay in patients with diabetic foot ulcer. Trauma was most common cause of diabetic foot ulcer.

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