Faizul Hasan, Hammad Naeem Rana, Mansab Ali, Mohd Tahir, Rizwan Saleem.
Diabetic foot - assessment and management of 100 cases.
Pak J Med Health Sci Jan ;5(4):677-81.

Aim: To assess and manage the diabetic foot disease according to Wagner’s Classification. This will help us to outline important principles of management of diabetic foot and identify measures to decrease morbidity and mortality. Method: The study was conducted in Surgical Unit I of Nawaz Sharif Social Security Teaching Hospital, Lahore from Jan 2009 to March 2010. 100 patients with diabetic foot disease were included in the study. They were classified according to Wagner’s Classification. The study recorded age group, type of D.M, previous history of amputation, severity of disease and method of treatment viz conservative or surgical. Results: There were 56 males and 44 females. The age incidence ranged from 20 yrs to 75 yrs, the commonest age group being over 60 yrs. 15 patients had Grade I, 27 patients Grade II, 18 patients Grade III, 30 patients Grade IV and 10 patients Grade V lesions. 2 patients had Type I D.M and 98 patients Type II D.M. There was family H/O of D.M in 11 patients and 7 patients had undergone amputation in the past. 19 patients were managed with rest and antibiotics alone. 31 patients needed incision and drainage of abscess and debridement while 50 patients underwent amputation of toe or limb. There was a mortality of 5%. Peripheral neuropathy was the commonest risk factor (47%). Conclusion: Foot complication in diabetic patient is a disabling morbidity that often is the first step towards lower extremity amputation. Recognition of risk factor, patient education in foot care, early hospitalization and aggressive/appropriate medical/ surgical treatment can improve morbidity/ mortality.

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