scholarly journals Risk factors for lower extremity amputation in patients with diabetic foot ulcers: a hospital-based case–control study

2015 ◽  
Vol 6 (1) ◽  
pp. 29629 ◽  
Author(s):  
Tjokorda Gde Dalem Pemayun ◽  
Ridho M. Naibaho ◽  
Diana Novitasari ◽  
Nurmilawati Amin ◽  
Tania Tedjo Minuljo
Keyword(s):  
Risk Factors ◽  
Lower Extremity ◽  
Diabetic Foot ◽  
Case Control Study ◽  
Case Control ◽  
Lower Extremity Amputation ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Extremity Amputation ◽  
Control Study

scholarly journals Vacuum-assisted closure versus conventional dressings in the management of diabetic foot ulcers: a prospective case–control study

2014 ◽  
Vol 5 (1) ◽  
pp. 23345 ◽  
Author(s):  
Ali M. Lone ◽  
Mohd I. Zaroo ◽  
Bashir A. Laway ◽  
Nazir A. Pala ◽  
Sheikh A. Bashir ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Case Control Study ◽  
Case Control ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Vacuum Assisted Closure ◽  
Control Study ◽  
Prospective Case Control Study

scholarly journals Risk Factors for Lower Extremity Amputation in Diabetic Foot Ulcer Patients: A Case-Control Study

2020 ◽  
Vol 11 (2) ◽  
pp. 83
Author(s):  
Gusti Agung Ayu Ira Kencana Dewi ◽  
Sony Wibisono ◽  
I Putu Alit Pawana
Keyword(s):  
Risk Factors ◽  
Lower Extremity ◽  
Diabetic Foot ◽  
Medical Records ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Lower Extremity Amputation ◽  
History Of ◽  
Extremity Amputation ◽  
Control Study

Introduction: Diabetes mellitus is a metabolic syndrome that is marked by higher blood glucose. The uncontrolled high blood glucose can lead to complication, such as diabetic foot. Diabetic foot is the most reason why diabetic patients are hospitalized. Diabetic foot that cannot heal may lead to lower extremity amputation. The purpose of this study was to describe the risk factors of lower extremity amputation in diabetic foot ulcer patients.Methods: This study used a case-control study of diabetic foot patients in Dr. Soetomo General Hospital from January 2015 to December 2017. This study used the data from medical records in Inpatient Installation Department of Internal Medicine. Patients with diabetic foot ulcer and lower extremity amputation due to diabetes were included in this study. Incomplete medical records were excluded. Data of samples were divided to two groups, i.e. the amputation group and the non-amputation group with a ratio of 1:1. Risk factors of amputation that were analyzed were male, old age, and the history of ulcer/lower extremity amputation.Results: Based on the data of 36 samples, there were 11 male patients (61.1%) and 7 female patients (38.9%) who experienced lower extremity amputation. The average age of amputation group was 59.61 years old with a range of ages from 39 to 72 years old. This study found the risk factors for lower extremity amputation in diabetic foot ulcer patients was the history of ulcer/amputation due to diabetes (OR 5.0, 95% CI 1.065-23.464, p = 0.034). Conclusion: The risk factor for lower extremity amputation in diabetic foot ulcer patients was the history of ulcer/amputation due to diabetes. 

Diabetes mellitus. Prevention of amputation

1994 ◽  
Vol 84 (7) ◽  
pp. 322-328 ◽  
Author(s):  
LJ Sanders
Keyword(s):  
At Risk ◽  
Lower Extremity ◽  
Diabetic Foot ◽  
Lower Extremity Amputation ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Medical Care Costs ◽  
External Forces ◽  
Care Costs ◽  
Extremity Amputation

Fifteen percent of individuals with diabetes will likely develop foot ulcers in their lifetime, and approximately 15% to 20% of these ulcers are estimated to result in lower extremity amputation. Techniques to prevent lower extremity amputation range from the simple but often neglected foot inspection to complicated vascular and reconstructive foot surgery. Appropriate management can prevent and heal diabetic foot ulcers, thereby greatly decreasing the amputation rate and medical care costs. Prevention is the key to treatment. The author discusses general guidelines for foot screening and identifies three specific goals for prevention of amputation: 1) identification of at risk individuals needing prevention and the specific factors placing them at risk; 2) protection of the foot against the adverse effects of external forces (pressure, friction, and shear); and 3) reduction of the incidence of diabetic foot ulcers through educational programs.

scholarly journals Current Therapeutic Strategies in Diabetic Foot Ulcers

Medicina ◽  
2019 ◽  
Vol 55 (11) ◽  
pp. 714 ◽  
Author(s):  
Perez-Favila ◽  
Martinez-Fierro ◽  
Rodriguez-Lazalde ◽  
Cid-Baez ◽  
Zamudio-Osuna ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Diabetic Foot ◽  
Treatment Strategies ◽  
Arterial Disease ◽  
Current Treatment ◽  
Lower Extremity Amputation ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Peripheral Arterial ◽  
Extremity Amputation

Diabetic foot ulcers (DFUs) are the fastest growing chronic complication of diabetes mellitus, with more than 400 million people diagnosed globally, and the condition is responsible for lower extremity amputation in 85% of people affected, leading to high-cost hospital care and increased mortality risk. Neuropathy and peripheral arterial disease trigger deformities or trauma, and aggravating factors such as infection and edema are the etiological factors for the development of DFUs. DFUs require identifying the etiology and assessing the co-morbidities to provide the correct therapeutic approach, essential to reducing lower-extremity amputation risk. This review focuses on the current treatment strategies for DFUs with a special emphasis on tissue engineering techniques and regenerative medicine that collectively target all components of chronic wound pathology.

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