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

Volume : VII, Issue : X, 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 :

Background: 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.

Methods: Study was conducted at the Hand and Reconstructive MicrosurgeryDepartment in a Tertiary Care Hospital, Chennai. We used a proformafor data collection and SPSS version 20for analysis.

Results: 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.

Conclusion: Early and appropriate surgical intervention and management of patients with DFU would result in reduced morbidity and mortality, and better quality of life.