|
KMID : 0896720030070010083
|
|
Journal of the Korean Society of Foot Surgery
2003 Volume.7 No. 1 p.83 ~ p.87
|
|
|
Fracture affecting Amputation Level in Diabetic Foot
|
|
Park In-Heon
Shin Sung-Il
Song Kyung-Won
Song Si-Young
Lee Jin-Young
Lee Seung-Yong
Park Jae-Yong
|
|
|
Abstract
|
|
|
Purpose: To evaluate the factors which affect the level of the amputation for treatment of DM foot excluding arterial occlusion.
Material and Methods : We selected 30 patients (10 of major amputations, 20 of minor amputations) who were amputated from May, 1999 to April, 2001 because of DM foot. Major amputation is BK amputation, and minor amputation is amputation below ankle joint. Gender, age, size of the wound, extent of the necrosis, infectious organism, medical com orbidity, duration of DM and blood glucose level, duration of DM foot and treatment history were inverstigated.
Results: In major amputations, male to female ratio was 9:1, average of the age was 63.8, the average of sizes of the wound was 16 cm2, duration of DM was 15.0 years, duration of DM foot was 10.6 weeks, and 80% of patients had necrosis and the organisms were S. aureus, E. faecium, Streptococcus, P. vulgaris, average of the blood glucose levels was 301 and 40% of them had been treated for DM foot. In minor amputations, male to female ration was 9:1, average of the age was 56.6, the average of sizes of the wound was 4.8 cm2, duration of DM was 11.2 years, duration of DM foot was 5.7 weeks, and 40% of patients had necrosis and the organisms were S. aureus, Streptococcus, M. morganini, E. faecium, average of the blood glucose levels was 257 and 20% of them had been treated for DM foot.
Conclusions: In DM foot patients, extents of the necrosis, duration of DM, duration of DM foot, the infectious organism were significant factors to decide extent of the amputation level.
|
|
|
KEYWORD
|
|
|
DM foot, Amputation
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|