“Evaluation and Management of Diabetic Foot According To Wagner’s Classification”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Diabetes is fast gaining the status of a potential epidemic in India with more than 62 million diabetic individuals currently diagnosed with the disease.1 At present India topped the world with the highest number of people with diabetes mellitus.1 Diabetes is a common disease affecting about 14.8% in rural and 19.7% in urban dwellers in India1 . India has highest prevalence of diabetes in world and accounts for almost 1/6 of the diabetic patients1 . Wagner’s classification is the simplest, best known for evaluation and management of diabetic foot ulceration.2 Background 1) To Re evaluate role of Wagner’s classification in the study and management of 100 diabetic foot in patients admitted in government general hospital guntur 2) To investigate the surgical strategy of diabetic foot and analyze the therapeutic efficacy. 3) To study and compare outcomes and also to identify measures to decrease the morbidity and mortality due to diabetic foot. Methods: Diabetic foot patients secondary to type 2 DM and type 1 DM and admitted at government general hospital guntur between the period of May 2013 to April 2014.100 Cases was selected and followed for 6 months duration with random sample technique and Classification of diabetic foot according to Wagner’s classification enables to institute proper treatment regimen and outcome retrospective study was done to see effectiveness of differential treatment based on Wagner’s classification. Results In The Study Of 100 Patients 1. Highest percentages of cases (30%) were found in the age group of 51-60 yrs. 2. there were 76 males and 24 females. 3. 60 patients were found to have peripheral neuropathy. 4. maximum no. of patients were presented with Grade II Wagner’s lesion. 5. Conservative -15; Surgery -85; Conclusion: Foot ulceration in diabetic patients is resource consuming, disabling morbidity, that often is the first step towards lower extremity amputation. Prevention is the best treatment Lesser grade lesion respond well to conservative treatment with antibiotics and debridement while those with higher lesion require some kind of amputation. Effective glycemic control and education are of key importance for decreasing diabetic foot disease
Authors and Affiliations
Dr. Yarram Rajyalakshmi M. S, Dr. B. V Amruthavalli M. S
Keywords
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- EP ID EP250680
- DOI 10.9790/0853-1612042533
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