INCIDENCE OF DIFFERENT TYPES OF AMPUTATION IN DIABETIC FOOT ULCER (A PROSPECTIVE STUDY)

Objective: The aim of this study was to determine the frequency of different types of amputations in diabetic foot ulcers. Study Design: A Prospective Study. Place and Duration: In the Surgical Unit II of Holy Family Hospital, Rawalpindi for one year duration from July 2017 to July 2018. Methods: In this study, all diabetic foot ulcers patients of four and fifth grade were included in the study. Standard hip disarticulation, amputation up to above or below knee ray amputation was performed accordingly. Results: A total of 53 patients were included in the study. The male patients were 30 years old, women were 23 years old. The minimum age was 30, the highest was 80 and the mean age was 58.26. According to Wagner's classification, 9 patients had stage 4 and 5 had left-sided amputation in 28 patients (52.2%) had 25 patients (47.2%) had right sided. Big toe Amputation was performed in (9.6%)5 ,2 toe amputated in (3.8%) patients, in 1 patient little toe amputation was done. Trans knee amputation in1 (2.0%), in 34 (61.93%) patients below knee amputation, in (2.09%) patient hip disarticulation and in 10 (18%) above knee amputation. Conclusion: The final results of a prospective study indicate that diabetic foot ulcers efficacy is associated with longer duration of diabetes and poor glycemic control. Non-traumatic diabetic ulcers and lower extremity amputations are costly and an important issue for patients, government and health care system.