Open AccessDIABETIC FOOT ULCER
Author(s) -
Abdul Waheed Jan,
Humera Khan,
Ishtiaq Ahmad,
Matiullah Khan
Publication year - 2016
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2016.23.06.1609
Subject(s) - medicine , dyslipidemia , foot deformity , diabetic foot , diabetes mellitus , foot (prosody) , observational study , diabetic foot ulcer , peripheral neuropathy , physical examination , deformity , surgery , disease , linguistics , philosophy , endocrinology
Objectives: To determine the risk factors contributing to the development ofdiabetic foot ulcers. Study Design: A descriptive observational study. Setting: Unit of surgery,City Hospital Lakki Marwat, Khyber Pakhtunkhwa. Period: 1st July 2013 to 30th June 2015.Patients and Material: One hundred and fifty diabetic patients with foot ulcer were studied.After taking informed consent, detailed history, clinical examination and relevant investigationswere performed according to a devised proforma. All the proformas were analyzed in the endof study. Results: One hundred and fifty patients comprising 95 male and 55 female werestudied. The average diabetic duration was 11 years. HbA1c was more than 8% in 98 (65.3%)patients. Peripheral neuropathy was present in 60 patients (40%), peripheral vascular diseasein 80 patients (53.3%), neuro-ischemic ulcers in 45 patients (30%), hypertension in 70 patients(46.6%), Ischemic heart disease in 20%, Dyslipidemia in 50%, foot deformity in 42% andaccidental/ foot wear trauma in 44%. Conclusion: Foot ulcer in diabetes results from multiplepathophysiologic mechanisms. Implementation of strategies for prevention, early detection,and appropriate treatment at the primary health care level are urgently needed.