Evaluation and management of diabetic foot according to Wagner’s classification

Abstract

Aims and Objectives: To re-evaluate role of Wagner’s classification in the Study and Management of diabetic Foot in patient admitted to tertiary care hospital. Materials and Methods: This hospital based observational study was conducted in the department of General Surgery at tertiary care hospital from July 2017 to August 2018. This study included 47 cases of Diabetic foot patients in which management protocol according to Wagner’s Classification was studied. Data was collected from hospital records which includes history, physical examination, investigations, treatment and follow up at discharge was collected.Results: The most common age of presentation in patients with diabetic foot lesion was between 41-60 yrs. In this study, out of 47 patients, 32 patients (68.1%) were male and 15 patients (31.9%) were female. The most common site was foot in 29 patients (61.7%). Out of 47 cases studied, 28 cases were having history of trauma, which account for 59.6% of the total cases. Amputation was the most common treatment modality. In this study of 47 patients, 11 patient required local debridement after initial surgery. Out of 47 cases; 42 patients ulcers were healed, 5 patients ulcer were not healed (4%).Conclusion: Diabetic patients have always suffered from complication affecting the lower limbs. Foot infection and subsequent amputation of lower extremities are the most common cause of hospitalization among diabetic foot patients. Prevention strategy including patient’s education in foot care, prophylactic skin and nail care, and footwear reduces the risk of foot ulceration and lower limb amputation by 25%.