Diabetic Foot Problems Due to Neuropathy in lschaemic and Non-lschaemic Patients
Osama Abdel-Kader Yousef;
Abstract
This series has been conducted to study the effective protocol of management _of diabetic foot problems due to neuropathy in ischaemic and non ischaemic patients. This study of 60 patients with diabetic foot who have been divided according to the presence or absence of ischaemia into two groups:
Group A:
• This group include 25 patients with diabetic foot problems, with ischaemia as proved by clinical examination, and non-invasive tests. Angiography was done to prove the presence of ischaemia and to plan for arterial reconstruction. It was found that bypass was not feasible for two patients in whom below knee amputation was performed. A variety of vascular reconstructions were conducted for the other 23 cases. Primary patency was 82.6%. Early graft failure had occurred. in four cases. They were re-operated upon with success in two cases and the other 2 cases submitted for below knee amputation after failure of conservative measures. The secondary patency was
91.3%. The incidence of amputation in this group was 13.8%,
and mortality r te 4.3%.
Group B:
This group includes 35 patients with diabetic foot problems without clinical or laboratory evidence of peripheral ischaemia. All patients of this group were submitted for parentral antibiotic therapy, -drainage of abscess, djbridement, and daily dressing.
Group A:
• This group include 25 patients with diabetic foot problems, with ischaemia as proved by clinical examination, and non-invasive tests. Angiography was done to prove the presence of ischaemia and to plan for arterial reconstruction. It was found that bypass was not feasible for two patients in whom below knee amputation was performed. A variety of vascular reconstructions were conducted for the other 23 cases. Primary patency was 82.6%. Early graft failure had occurred. in four cases. They were re-operated upon with success in two cases and the other 2 cases submitted for below knee amputation after failure of conservative measures. The secondary patency was
91.3%. The incidence of amputation in this group was 13.8%,
and mortality r te 4.3%.
Group B:
This group includes 35 patients with diabetic foot problems without clinical or laboratory evidence of peripheral ischaemia. All patients of this group were submitted for parentral antibiotic therapy, -drainage of abscess, djbridement, and daily dressing.
Other data
| Title | Diabetic Foot Problems Due to Neuropathy in lschaemic and Non-lschaemic Patients | Other Titles | مشكلات القدم السكرية نتيجة اصابة الأعصاب الطرفية فى المرضى المصابين بقصور وغير المصابين بقصور فى الدورة الدموية للساق | Authors | Osama Abdel-Kader Yousef | Issue Date | 2001 |
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