The aim of this study is to analyse diabetic foot ulcer through the new focal Amit Jain’s classification for diabetic foot ulcer and to predict the outcome associated with this classification.
Methods and materials: A descriptive retrospective analysis was done at 2 different centres. The study period was from January 2017 to December 2017. IEC approval was obtained for this study.
Results: A total of 54 patients were included in this study with 75.9% being males. Right foot was involved in 63% of patients. 53.7% of the patients had some associated comorbidity. Forefoot was the most common area affected with ulcers accounting for 88.8% of cases. 48.1% of the ulcers were less than 2 cm in size. Class 3 diabetic foot ulcers were the most common class of ulcer affecting 72.2% of the patients. Also, class 3 ulcers were significantly responsible for majority of amputation. 77.8% of the toe ulcers had amputation. 20.4% of diabetic foot ulcers had underlying osteomyelitis and 7.4% had peripheral arterial disease and they were significantly associated with amputation. There was no mortality in this study.
Conclusion: In this validation study, we observed that class 2 ulcers were common in females. Most amputations occurred in class 3 diabetic foot ulcers with no amputation occurring in class 1 diabetic foot ulcers. There was a significant association of male gender, size of ulcer, location of ulcer, presence of peripheral arterial disease and osteomyelitis with amputations. This is the first study to our knowledge that evaluates diabetic foot ulcers through the new Amit Jain’s classification for diabetic foot ulcer.