English

Abstract

BACKGROUND Foot amputations are common in diabetic patients and they are either minor or major. We conducted this study to analyse minor amputations done in diabetic patients through this new Amit Jain’s extended “SCC” classification for foot amputations. METHODS A descriptive retrospective study was conducted in Department of Surgery of Raja Rajeswari Medical College, Bengaluru, Karnataka, India, which is a tertiary care teaching hospital. The study period was from January 2018 to December 2019. This study was approved by institutional ethics committee. RESULTS 32 patients were included in this study with majority of patients being above 40 years. 78.1 % of them were males. Infected ulcers in the foot accounted for 34.4 % of the cases and were the commonest cause for amputation. 96.9 % of the patients who underwent minor amputation were of type 1-foot amputation. 6.3 % ended up in major amputation in the same hospitalisation. There was no in-patient mortality in this study. CONCLUSIONS Diabetic foot amputations are common in clinical practice and they often cause increased morbidity and add financial burden to patients and their family. Toe amputations, which are type 1-foot amputations, are the commonest amputations performed. Type 3-foot amputations are rarely done as they are complicated and require expertise. Amit Jain’s extended SCC classification for foot amputation is a simple, easy to understand and practical classification that categorises the minor amputation into 3 simple types. This is the first such classification exclusive for foot amputation. KEYWORDS Diabetes, Amputation, Foot, Amit Jain, Osteomyelitis, Gangrene, Ulcer