PAKISTAN ARMED FORCES
MEDICAL JOURNAL (Category Y)

A Journal of Army Medical & Dental Corps

Being published since 1956

ISSN (online) 2411-8842
ISSN (print) 0030-9648

VOL 67, No. 5, OCTOBER 2017

FREQUENCY OF DIFFERENT LEVEL OF AMPUTATIONS IN TYPE-2 DIABETICS

Usman Bin Ali, Irfan Shukr*, Muhammad Tanveer Sajid**, Waseem Afzal***, Maryam Hussain***, Qurat Ul Ain Mustafa**

Abstract

Objective: To determine the frequency of different levels of amputations in type-2 diabetics.
Study Design: Cross sectional study.
Place and Duration of study: Department of Surgery Combined Military Hospital, Peshawar, from 27 Aug 2012 to 27 Feb 2013.
Material and Methods: Non probability consecutive sampling technique was used to enroll 158 type-2 diabetics undergoing amputations satisfying inclusion/exclusion criteria. Data regarding level of amputation, glycosylated Hb% and duration of diabetes mellitus (DM) was recorded followed by analysis using SPSS version 17.
Results: Total 158 patients were enrolled, 102 (64.5%) male and 56 (35.44%) female, with male female ratio of 1.8:1. Mean age of presentation was 54.99 ± 7.84 years in males and 55.14 ± 8.99 years in females respectively, the difference being statistically insignificant (p=0.912). Mean duration of DM was found 10.88 ± 3.16 years in males and 10.03 ± 2.50 years in females while mean level of glycosylated hemoglobin was 7.54 ± 0.68 and 7.35 ± 0.63 in males & females respectively, both values statistically insignificant. Below knee amputation (BKA) was done in 55 (34.8%) patients, above knee amputation (AKA) 34 (21.5%), Toe amputation (TA) 42 (26.6%) and foot amputation (FA) in 27(17.1%).
Conclusion: Majority of the patients underwent major amputations and most frequent level of amputation was below knee amputation.

Keywords : Amputation, Diabetic foot, Diabetic foot ulcers, Glycemic control.



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