Assessment of Risk Factors Leading to Amputation in Diabetic Neuropathic Ulceration of Foot
G. S. Arun Narindar
Department of General Surgery, Sree Balaji Medical College & Hospital Affiliated to Bharath Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
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Abstract
More than 65% of the patients were found to have neuropathy and associated deformity 90% of patients had history of trauma predisposing to diabetic ulcer, of which trivial trauma accounts for 60% of injuries .About 35% of these patients presented with abscess and 20% with gangrene. Majority of blood sugar values ranged from 200-350 mgs% with insulin requirements of about 20-40 units per day. 50% of cases were subjected to decompressions which resulted m salvaging of the legs.
Keywords: Neuropathy, trauma, diabetic ulcer