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Monitoring of flap blood glucose levels during and after surgery is important for determining flap salvage or loss. Decision to re operate and do revision amputation was solely based on clinical assessment and no objective measurement is available till date. The objective of this study is to validate flap capillary blood glucose monitoring serially as an indicator to predict flap survival in below knee amputation patients. The study was conducted at Coimbatore medical college hospital, general surgery department from march-2016 to june- 2016. 50 patients with peripheral arterial occlusive disease with established gangrene of lower limb requiring BK amputations were selected. Out of the 50 patients who underwent BK amputations 45 patients in whom the flap survived had flap glucose level more than 62mg/dl, in the first 24 hours. This simple and cheap technique can be used for routine monitoring of BK amputation flaps along with the routine clinical evaluation.

Flap Capillary Blood Glucose Monitoring As a Predictor of Flap Survival in Below Knee Amputation Stump