J Korean Foot Ankle Soc.
2005 Jun;9(1):26-30.
The Precipitating Factors of Amputation as Initial Treatment in Diabetic Foot
- Affiliations
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- 1Department of Orthopaedic Surgery, Catholic University of Daegu College of Medicine, Daegu, Korea. swlee@cu.ac.kr
Abstract
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PURPOSE: To evaluate the precipitating factors of amputation as initial treatment in diabetic foot patients.
MATERIALS AND METHODS
Between March, 1994 and February 2003, 41 cases (37 patients) diabetic foot patients who had diabetic ulcer, pyogenic inflammation and gangrene and followed up over 1 year were collected. Among them, We evaluate the precipitating factors of amputation for average 39.6months (12-118months).
RESULTS
Among many factors, Wagner classification, pulse volume recording of toes, Ankle-Brachial Index and Albumin level are statistically significant in amputation patients.
CONCLUSION
In determining the amputation of diabetic foot as initial treatment, the trauma history, circulation of foot and serum albumin level are important precipitating factors. So the education about preventing even minor trauma and maintaining good nutrition state decrease the amputation rate in diabetic foot patients.
