Original Research Article
Year: 2021 | Month: July | Volume: 8 | Issue: 7 | Pages: 327-331
DOI: https://doi.org/10.52403/ijrr.20210745
Wagner’s Classification for Management and Evaluation of Diabetic Foot: A Prospective Study
Prashant G.K.1, Suryanarayan Reddy V2
1Assistant Professor, 2Professor, Department of General Surgery, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar.
Corresponding Author: Suryanarayan Reddy V
ABSTRACT
Background: In our community diabetes is one of the most common co-morbid illnesses. Out of its several complications in long course diabetic foot is one of them. Morbidity and mortality due to this complication is a major health issue.
Objective: This study is undertaken for management and evaluation of foot ulceration to avoid amputation of lower extremities due to diabetic foot disease.
Methods: This prospective observational study conducted between July 2019 and September 2020, 40 patients with diabetic foot admitted to Department of General Surgery, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar (TS) were subjected to surgical treatment depending upon the Wagner’s classification. Data was collected and analyzed by statistical software SPSS V 25.
Results: Majority of the patients presented with higher grade and with poor glycemic control at the time of presentation. Conservative management with antibiotics was useful in a small subset of the patients. Majority of the patients needed surgical treatment in the form of debridement to amputations.
Conclusion: Patient education and strict glycemic control can reduce the burden of diabetic foot. Early diagnosis and hospitalization, appropriate treatment including medical and surgical treatment according to the grade can reduce the morbidity mortality and improve the outcome of the disease.
Keywords: Antibiotics; Amputation; Wagner classification; Complications; Glycemic control.
[PDF Full Text]