Researches

Diabetic foot lesions and clinical experience

10.5350/BTDMJB201511204

  • Musa Korkmaz
  • Nurullah Şener
  • Erhan Bayram
  • Murat Yılmaz
  • Mahmut Ercan Çetinus

Received Date: 22.09.2014 Accepted Date: 17.11.2014 Med J Bakirkoy 2015;11(2):60-65

Objective:

Although some diabetic foot undergone amputation because of progressive wound others heal without complication. This study evaluates the risk factors for amputation of diabetic foot.

Material and Methods:

This study include 104 patients (77 males, 27 females; mean age 62.3 years; range 23 to 90 years) who had diabetic foot ulcers and treated between 2008 and 2011. Data on age and sex, type and time of diabetes, complications and treatment type were recorded.

Results:

36.5% of patients had no any antidiabetic medicine. The frequencies of diabetes related complications in descending order were as follows; 44.2% retinopathy, 16.3% polyneuropathy, 11.5% nephropathy, 3.8% Charcot joint. According to Wagner Classification most of the patients (n=100) stages found in two to four. Total 82 patients undergone surgical treatment.

Conclusion:

We consider that multidisciplinary treatment strategy in which orthoapedic surgeons have an important and special mission decreases amputation rate in diabetic foot.

Keywords: Amputation, complications, foot ulcers, risk factors