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Amputation in Diabetic Patients.

Gurjit Singh1, S Chawla2

  • 1Professor (Surgery), Padamshri Dr DY Patil Medical College, Pune.

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Summary
This summary is machine-generated.

Diabetic foot ulcers significantly increase the risk of amputation and death, especially in poorly controlled diabetes. Ischemic ulcers carry a higher mortality rate than neuropathic ones.

Keywords:
AggressivenessAmputationsDiabetic foot

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Area of Science:

  • Endocrinology
  • Vascular Surgery
  • Diabetology

Background:

  • Diabetic foot ulcers are a major cause of morbidity and mortality.
  • Complications of diabetic foot ulcers necessitate significant healthcare interventions.

Purpose of the Study:

  • To evaluate amputation risk criteria in diabetic foot patients.
  • To assess long-term outcomes regarding amputations and mortality in this population.

Main Methods:

  • A study of 27 patients with diabetic foot lesions (15 early, 10 advanced).
  • Treatment included conservative management (15 patients) and lower extremity amputations (12 patients).
  • Patient demographics: 80% males, aged 45-59, with >6 years of poorly controlled diabetes.

Main Results:

  • Key precipitating factors (86%) included barefoot walking, trauma, infection, callosities, or burns.
  • Major lower limb amputations were frequent in poorly controlled diabetics with infection, angiopathy, and neuropathy.
  • Irregular treatment correlated with higher amputation rates.

Conclusions:

  • Diabetic foot ulcers are linked to substantial morbidity and mortality.
  • Mortality rates were higher for ischemic diabetic foot ulcers compared to neuropathic ulcers.