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KMID : 1130920160200020078
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Journal of Korean Foot and Ankle Society
2016 Volume.20 No. 2 p.78 ~ p.83
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Risk Factors of Syme Amputation in Patients with a Diabetic Foot
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Gwak Heui-Chul
Kim Jeon-Gyo
Kim Young-Jun
Lee Jeong-Han
Lee Woon-Seong
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Abstract
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Purpose: This study examined the factors affecting the treatment of diabetes mellitus foot patients who had undergone a Syme amputation.
Materials and Methods: This study included 17 patients diagnosed with a diabetes mellitus foot and who had undergone a Syme amputation from January 2010 to January 2014. Some of the risk factors (age, body mass index [BMI], disease duration, smoking, ankle brachial index [ABI], HbA1c, serum albumin, total lymphocyte, C-reactive protein [CRP], and serum creatine) that affect the successful Syme amputation were analyzed.
Results: The healing rate of a Syme amputation was significantly higher when the lymphocyte count was above 1,500 mm3 (p=0.029). The factors affecting the surgical outcome according to multivariate analysis were HbA1c and the BMI (p=0.014, p=0.013). Regarding reamputation, there was a significant difference with HbA1c, lymphocyte, and BMI (p=0.01, p=0.03, and p=0.01). No significant differences were observed with age, disease duration of diabetes mellitus, smoking, ABI, serum albumin, CRP, and serum creatine.
Conclusion: The HbA1c level, BMI and total lymphocyte count are risk factors that must be considered for successful Syme amputation in patients with diabetic foot disease.
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KEYWORD
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Diabetic foot, Risk factors, Syme amputation
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