Muneer Imran, Zahid Mahmood, Muhammad Nadeem, Tahir Ch, Tashah.
Pattern of diabetic foot lesions and surgical procedures for management.
Pak J Med Health Sci Jan ;5(1):81-4.

Objectives: To find out patterns of diabetic foot lesions and variety of surgical procedures performed in our ward. To create awareness among diabetic patients for the care of their feet Setting: This study was conducted at Ghurki trust teaching hospital Lahore Durational of study: This study was conducted for 2 years i-e from December 2008 to January 2010 Study design: It was observational study Sample size: During 2 years of my study period, 180 patient with diabetic foot lesions were admitted and managed according to the lesions Sampling technique: Non- probability Inclusion criteria: Both type 1 and type 2 diabetics having developed diabetic foot ulcer were included in the study Exclusion criteria: Patients with pre-existing condition e.g. carcinoma, chronic eczema, varicose ulcers even diabetic were excluded from the study Results: Out of 180 patients 126 were male and 54 were female as male are more active in life and more prone to get trauma. Majority patients (56%) were admitted through out patient department (OPD). 64 patients were on insulin, 102 were on oral hypoglycemic drugs and 14 patients were diagnosed first time during investigations. The cultures report of pus from wound showed staphylococcus was the most common organism. The majority wounds were classified as grade III and grade IV according to Meggit Wagner classification. The most common surgical procedure was debridement of wound and incision drainage with curettage. Conclusion: The commonest lesion was ulceration of foot with bone involvement and the most common treatment was debridement and curettage of the wound.

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