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New Indian Journal of Surgery

Volume  11, Issue 3, July – September 2020, Pages 359-361
 

Original Article

Evaluation and Management of Diabetic Foot According to Wagner’s Classification

S Kumaraswamy1, Vishnu Kumar S2, Sekar A3, Prabhu Gunasekaran4

1Associate Professor, 4Assistant Professor, Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Pillaiarkuppam, Puducherry 607402, India, 2Associate Professor, Department of General Surgery, Trichy SRM Medical College Hospital and Research Centre, Irungalur, Trichy, Tamil Nadu 621105, India 3Consultant, Department of General Surgery, G Kuppuswamy Naidu Memorial Hospital, Coimbatore, Tamil Nadu 641037, India.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11320.16

Abstract

Background: Diabetes mellitus is a common
metabolic disorder affecting 20% of the population in
various parts of the world. According to International
Diabetes Federation (IDF) it was estimated that
80% of people with diabetes live in developing
and underdeveloped countries with lower income
including India. India is home of 69.1 million diabetic
patients with overall frequency of 9.3% and second
largest country after china. Diabetes is associated with
numerous complications related to microvascular,
macrovascular and metabolic etiologies


Methods: This prospective observational study was
conducted by the Department of General Surgery
at Mahatma Gandhi medical college and research
institute from July 2016 to July 2017. A total of 60
patients were included in the study. A comprehensive
history taken from each patient followed by a thorough
physical examination and were recorded in the predesigned profoma and analyzed.


Results: Themaximum cases 42 (70.6%) were in
the age group of 41-60 years followed by 17 (28.3%)
from the age group 21-40 years. The mean age of the
patients was 46.62 (SD14.66) years ranging from 21 to
70 yrs. According to Wagner’s classification, maximum
number of patients presented with Grade II Wagner’s
lesion (46.7%) followed by Grade III (31.7%)


Keywords: Wagners score; Diabetic foot; Gangrene.
 


Corresponding Author : Vishnu kumar S.