A study of the correlation between clinical grading and nerve conduction in diabetic foot
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 9
Abstract
Introduction: Diabetes mellitus is a metabolic disorder characterized by hyperglycemia resulting from defects in insulin secretion, insulin action or both. It may be accomplished by other biochemical disturbances and the presence of progressive diabetic tissue damage with micro and macro vascular complications. Diabetes is the leading cause of end-stage renal disease, a major cause of non-traumatic amputations, responsible for 30 % of the preventable blindness and a leading cause of cardiovascular mortality Methodology: This proposed study was carried out as a prospective, randomized clinical trial in 50 patients diagnosed diabetic foot; in department of Surgery Institute of Medical Sciences and Research, Mayani, Tq-Khatav, Dist-Satara-415102, after getting approval from Ethics Committee Result: Most of the patients from the study belonged to Lesions of Skin intact (40%) and Deeper, full-thickness extension of ulcer(12%), Deep abscess or osteomyelitis associated with ulcer(10%) by Wagner and Brodsky grading . Majority of the patients were having Mixed type of Neuropathy 38 (76%), followed by Axonal (16%), Demyelinating (6%), Normal(2%) . The number of patients with bilateral neuropathy detected by NCV study is 77.00% is more than that detected clinically 23.00%. By applying test of significance, chi-square test, the difference is significant (p<0.05) Conclusions: Number of patients with bilateral neuropathy detected by NCV study in our study is more than that detected clinically. Hence, NCV is a better study to detect nerve condition abnormalities than clinical examination in diabetic foot.
Authors and Affiliations
Sachin Lalasaheb Pawar
Keywords
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