Abstract

Diabetic Foot Ulcer is one of the complications of diabetes associated with severe morbidity, mortality, and reduced quality of life and socioeconomic implication. The incidence of DFU continues to raise. The insensate foot is very prone to trauma which may be unperceived and hence neglected and the ulcer remains unnoticed and very soon it develops a septic complication. Osteomyelitis is a common complication of infected diabetic foot ulcers, occurring in 10%-15% of moderate and 50% of severely infected feet(1). Diabetic foot osteomyelitis is the consequence of a soft tissue infection that extends into the bone in diabetic individuals, affecting the cortex first followed by marrow. In all DFUs chronic wounds, recurrent ulcers with clinical findings of inflammation, bone involvement should be suspected. Methods: This study was conducted on 75 consecutive patients admitted in various surgery units in Department of General Surgery, J.A. Group of Hospitals, G.R. Medical College, Gwalior during period February 2019 – august 2020. Well, and informed consent from the patient was taken before enrolling them in the study. Result: -Diabetes Foot Osteomyelitis is mostly present in pateint of neuropathic symptom. Mostly patient of our study having ABPI of 0.6 -0.89. Radiological test PTB test and Xray foot shows osteomyelitis present 90% and 91 percent accordingly. Various inflammatory marker was raised in our study .Deep tissue culture shows staph aureus in 47% followed by streptococcus in 10 percentage of patients . Conclusion: The diagnosis of osteomyelitis is primarily based on clinical signs of infection supported by laboratory, microbiological, and radiological evaluation. However, the diagnosis remains a challenge and DFO is often not recognized easily in its initial phase

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