Online ISSN: 2515-8260

Assessment of Outcome of Management of Diabetic Foot Ulcer

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Dinulal PP1 , Mubashir D2*

Abstract

Background: To assess outcome of management of diabetic foot ulcer. Materials and Methods: One hundred ten patients of diabetic foot ulcer of both genders were enrolled. Parameters such as Wagner's classification, type of operations performed were recorded. Previous history of diabetes, wound healing, ulcers and boils in other part of the body were recorded. D. Results: Out of 110 patients, males were 65 (59%) and females were 45 (40%). Wagner classification grade 0 was seen in 6, grade 1 in 8, grade 2 in 14, grade 3 in 26, grade 4 in 30 and grade 5 in 26 patients. Clinical presentation was gangrene seen in 20, cellulitis in 30 and ulcer in 60 patients. Bacteria isolated were staphylococcus aureus in 72, Beta haemolytic streptococci in 16, gram negative organisms in 20 and anaerobic cocci in 2 cases. The difference was significant (P< 0.05). Management performed was incision and drainage in 10, amputation in 52, debridement in 26, transmetatarsal in 8, below knee amputation in 4 and above knee amputation in 10 patients. The difference was significant (P< 0.05). Complete healing was observed in 68, outcome was unknown in 26 and patient death occurred in 2 cases. The difference was significant (P< 0.05).

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