Abstract

Background: To assess outcome of management of diabetic foot ulcer.
Materials and Methods: One hundred ten patients of diabetic foot ulcer of both genders were enrolled. Parameters such as Wagner's classification, type of operations performed were recorded. Previous history of diabetes, wound healing, ulcers and boils in other part of the body were recorded. D.
Results: Out of 110 patients, males were 65 (59%) and females were 45 (40%). Wagner classification grade 0 was seen in 6, grade 1 in 8, grade 2 in 14, grade 3 in 26, grade 4 in 30 and grade 5 in 26 patients. Clinical presentation was gangrene seen in 20, cellulitis in 30 and ulcer in 60 patients. Bacteria    isolated were staphylococcus aureus in 72, Beta haemolytic streptococci in 16, gram negative organisms in 20 and anaerobic cocci in 2 cases. The difference was significant (P< 0.05). Management performed was incision and drainage in 10, amputation in 52, debridement in 26, transmetatarsal in 8, below knee amputation in 4 and above knee amputation in 10 patients. The difference was significant (P< 0.05). Complete healing was observed in 68, outcome was unknown in 26 and patient death occurred in 2 cases. The difference was significant (P< 0.05).
Conclusion: The management of diabetic foot ulcers remains a major therapeutic challenge which implies an urgent need to review strategies and treatments in order to achieve the goals and reduce the burden of care in an efficient and cost-effective way. Grade 5, presence of ulcers and bacteria such as staphylococcus aureus and gram- negative organisms were major risk factors for the surgical management of diabetic foot ulcer.