Image Series Showing Anatomical Changes in Diabetic Foot

Abstract

Introduction: Diabetic patients are 15 times more likely to develop gangrene, requiring amputation. Most of the non-traumatic limb amputations are due to complications of diabetes. Aim: The aim of this image series was to appreciate the various anatomical changes occurring in patients with diabetic foot ulcers. Materials and Methods: A prospective study was carried out in 70 patients presenting to the Diabetic Clinic at a tertiary care hospital in Delhi, India regarding the site, size, nature of foot lesions. Results and Conclusion: Seventy patients with various presentations of diabetic foot were studied in the patients reporting to a tertiary hospital at Delhi. 21 patients (34.2%) had foot lesions which responded well to conservative management by regular chiropody.19 patients (27.1%) underwent wound debridement, abscess drainage and regular dressings following which, the wounds healed well with secondary intention.27 patients underwent amputations at various levels in the foot, 11 patients required skin grafting.3 patients developed diabetic ketoacidosis and septicemia, and were managed aggressively in ICU with insulin IV fluids and antibiotics. It was found that with proper diabetic control, surgical intervention and antibiotics, the wounds healed well.