Volume : 7, Issue : 10, October - 2018

SURGICAL MANAGEMENT OF PATIENTS WITH DIABETIC FOOT ULCER (DFU) AT A TERTIARY CARE HOSPITAL IN CHENNAI, INDIA

Dr. P. Nellaiappar, Dr. A. P. Selvam, Sonia Sims, Thaddeus Alfonso

Abstract :

<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:200%;mso-layout-grid-align:none;text-autospace:none"><b><span lang="EN-GB" style="font-size:12.0pt;mso-bidi-font-size:10.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:black">Background: </span></b><span lang="EN-GB" style="font-size:12.0pt;mso-bidi-font-size:10.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:black">Diabetic foot ulcer is a major complication in patients with diabetes mellitus and it calls for a surgical intervention. Surgical management still remains a challenge. <o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:normal;mso-layout-grid-align:none;text-autospace:none"><b><span lang="EN-GB" style="font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;color:black"><o:p>&nbsp;</o:p></span></b></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:200%;mso-layout-grid-align:none;text-autospace:none"><b><span lang="EN-GB" style="font-size:12.0pt;mso-bidi-font-size:10.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:black">Methods: </span></b><span lang="EN-GB" style="font-size:12.0pt;mso-bidi-font-size:10.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:black;mso-bidi-font-weight:bold">S</span><span lang="EN-GB" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;background:white">tudy was conducted at the Hand and Reconstructive MicrosurgeryDepartment in a Tertiary Care Hospital, Chennai. We used a proformafor data collection and </span><span lang="EN-GB" style="font-size:12.0pt;mso-bidi-font-size:&#10;10.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:black">SPSS version 20for analysis. <o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:normal;mso-layout-grid-align:none;text-autospace:none"><b><span lang="EN-GB" style="font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;color:black"><o:p>&nbsp;</o:p></span></b></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:200%;mso-layout-grid-align:none;text-autospace:none"><b><span lang="EN-GB" style="font-size:12.0pt;mso-bidi-font-size:10.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:black">Results: </span></b><span lang="EN-GB" style="font-size:12.0pt;mso-bidi-font-size:10.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:black">Among 118 DFU patients with type 2 DM, 72% male and 28% female with a mean age of 55.4 years. Ischemic ulcer was the common type and forefoot was commonly affected. Split skin grafting was done for a majority followed by deidement; many adhered to treatment, diet and physical exercise; and 89% got their DFU healed in one-year follow-up. <o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:normal;mso-layout-grid-align:none;text-autospace:none"><span lang="EN-GB" style="font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;color:black"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:200%;mso-layout-grid-align:none;text-autospace:none"><b><span lang="EN-GB" style="font-size:12.0pt;mso-bidi-font-size:10.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:black">Conclusion: </span></b><span lang="EN-GB" style="font-size:12.0pt;mso-bidi-font-size:10.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Early and appropriate surgical intervention and management of patients with DFU would result in reduced morbidity and mortality, and better quality of life. <span style="color:black"><o:p></o:p></span></span></p>