Treatment Modalities in management of diabetic foot complications at a Tertiary Care Hospital

Abstract

The feet are one of the most used parts of the body, are necessary for daily activities pertaining to locomotion, and are therefore subject to repetitive trauma. Trauma, in turn, may lead to open lesions that allow ingress of pathogenic microbes. In the diabetic person, the pathogenesis of foot infections is multifaceted. Out Of 100 cases studied in 20 cases the wound healed well, and patients were discharged without any complications. While in 8 cases the resulting raw area needed split thickness skin grafting. In 27 cases the wound remained as chronic ulcer without any signs of healing. Out of 38 amputations(35 BKA & 3 AKA) 27 stumps healed well, while 9 of them ended in dehiscence and the remaining 4 cases of amputation died due to other associated comorbidities. Out of the 100 cases in 14 cases the patient died because of other associated comorbidities of diabetes.