CLINICAL STUDY OF DIABETIC FOOT, ITS RISK FACTORS, CLINICOPATHOGENESIS, INVESTIGATIONS AND MANAGEMENT

Abstract

Objectives: The objectives of the study are to study epidemiology and clinicopathogenesis of diabetic foot ulcers and (2) to study investigations that correlate with diabetic foot recurrence and its management. Methods: This study was done among diabetic patients came to surgery outpatient department with complaints of ulcer, swelling, gangrene, over foot, toes/leg+foot/ankle and admitted in surgery ward of C.R. Gardi Hospital, Ujjain, Madhya Pradesh, in time period between October 2017 and November 2018. Detailed history and thorough clinical examination were done in all cases. A total of 85 cases of diabetic foot ulcers were analyzed. Results: Out of 85 patients involved in study, peak incidence of diabetic foot ulcer is seen in age group of 51–60 years and the lowest, i.e., 3.5% of incidence seen in age group of <40 years. The most common cause of ulcer formation was trauma, i.e., 61.2% and rest 38.8% were spontaneous as patients were unaware of any injury that might have caused it. In this study, it is seen that patients with duration of diabetes 11–15 years were most consisting 40% of all patients and more than 15 years being the least with 7.2%. Conclusion: On the basis of our study findings, we found out that most common mode of ulcer formation was due to injury rather than spontaneous. It can be due to the fact that majority of population is from rural areas and less educated and mostly involved and open-field work such as farming and laborer.