J Korean Foot Ankle Soc.
2007 Dec;11(2):149-153.
Analysis of the Risk Factors for Lower Extremity Amputation due to Diabetic Foot Complications
- Affiliations
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- 1Department of Orthopedic Surgery, Konkuk University School of Medicine, Seoul, Korea. jungfoot@hanmail.net
- 2Department of Orthopedic Surgery, National Police Hospital, Seoul, Korea.
- 3Department of Orthopedic Surgery, Dankook University College of Medicine, Cheonan, Korea.
- 4Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.
Abstract
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PURPOSE: To evaluate the possible risk factors of lower extremity amputations in diabetic foot patients.
MATERIALS AND METHODS
The study is based on 37 patients who received lower extremity amputations from April, 1997 to February 2005 due to diabetic foot complications with at least 1 year follow up. As for the control group, 49 diabetes patients who had been treated at the endocrinology department for at least 1 year without any diabetic foot complication were evaluated. As for the possible risk factors, age, gender, duration of diabetes mellitus, body mass index, Hb A1c, blood glucose level, total cholesterol, s-creatinine, C-peptide, smoking, alcohol, hypertension, cardiovascular disease, CVA, retinopathy and neuropathy were investigated.
RESULTS
Among the possible risk factors evaluated, age, Hb A1c, smoking, neuropathy and blood glucose level factors showed statistically significant difference between the diabetic amputation and the control group.
CONCLUSION
In reducing the risk of the lower extremity amputations in the diabetic patients due to diabetic foot complications, strict control of blood glucose level and cessation of smoking were found to be utmost important.
