The prevalence of foot ulceration in the general diabetic population is 4–10%, being lower (1.5–3.5%) in young and highest (5–10%) in older patients. The lifetime risk for foot ulcers in diabetic patients is about 15%. The major adverse outcome of foot ulceration is amputation. The aim of the study was to analyze the risk factors leading to complication in diabetic foot and to study the outcome of treatment of different modalities for diabetic foot. Material and Methods: This study was conducted in 100 patients of diabetic foot in the Department of general surgery at Jhalawar Hospital and medical college Jhalawar, during the period of Aug 2015to Oct 2018.
Results: Commonest presenting lesion was ulcers (59%), followed by cellulitis (26%), and gangrene (15%). Trauma is the initiating factor in most of the cases. Out of which 82% of patients had infection. Most common microorganism grown from wound discharge culture was staphylococcus aureus (53%), 71 patients were treated with wound debridement out of them skin grafting was done in 15 patients, 14 of patients underwent amputation. Prognosis was batter in patients with controlled blood sugar level.
Conclusion: Diabetes Mellitus is a lifelong disease and diabetic foot ulceration can be life threatening, physically incapacitating, costly to treat and result in extensive morbidity if not treated properly. Screening, proper evaluation, early identification and treatment of the ‘at risk foot’ can reduce complications.