Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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A Prospective Observational Study of Different Modalities of Diagnosis, Medical Versus Surgical Treatment and Outcome of Diabetic Foot Patients with Osteomyelitis
Rajesh Prajapati, Manisha Singh, Ravindra Singh and Shubham Jain
Page: 493-499 | Received 22 Jul 2024, Published online: 28 Aug 2024
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Abstract
Diabetes is one of the most prevalent diseases in society in which no medical specialty should be exempted from understanding the disease and its complications. Since diabetic foot complications are very prevalent and affect all diabetics, causing significant burden in their lifestyle and loss of limb or life, making it is important to study. Peripheral vascular changes and neurological changes are induced by long‐standing untreated diabetes, which worsens the path of the disease by ulceration, infections, deformities and other systemic complications. There is a need to review clinical presentation, patho‐physiology and categorize the lesion and classify for best management to minimize morbidity in diabetic patients who were most often present with uncontrolled infection and ulcerations leading to compromise of part of the foot or entire foot. The present research proposes a systematic research on clinical presentation and diagnosis and diabetic foot management in G.R. Medical College, Gwalior, so that more could be learned about clinical presentation, pathophysiology and management of DFO in this geographic area. An accrual study was conducted in patients who presented with infected foot ulcer with history of diabetes mellitus or with raised blood sugar levels. A population of 75 patients with diabetic foot was enrolled for study. Detailed history, clinical examination, chemical and biochemical evaluation was done. Assessment of peripheral neuropathy, lower limb pulsation and ABI was done followed by wound assessment for number, location, dimension, presence and nature of discharge, granulation tissue extent of necrosis extent and type of gangrene scar of previous surgeries and deformities etc. Based on above parameters foot ulcers were classified according to university of texas wound classification system and patients were henceforth treated medically or surgically and observations were made. There was more risk of developing DFO with increasing duration of diabetes and more among in uncontrolled diabetic patient and family history of diabetes mellitus. Maximum DFO patient present with non‐healing foot ulcer with underlying infected bone. Most common microorganisms grown from culture taken from the lesion was staphylococcus aureus followed by streptococcus. Slightly higher healing with less recurrence found in surgically managed DFO. Healing duration of lesions is similar in both groups most lesions healed within 3 month. It can be concluded that Maximum DFO patient present with non‐healing foot ulcer with underlying infected bone. Deep tissue culture and bone culture helps to guide appropriate antibiotic therapy. Slightly higher healing with less recurrence found in surgically managed DFO. Healing duration of lesion are similar in both groups most lesion healed within 3 months.
How to cite this article:
Rajesh Prajapati, Manisha Singh, Ravindra Singh and Shubham Jain. A Prospective Observational Study of Different Modalities of Diagnosis, Medical Versus Surgical Treatment and Outcome of Diabetic Foot Patients with Osteomyelitis.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.493.499
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.493.499