PP 127. The Effects of Treatment Modalities on Outcome in Diabetic Foot Patients

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E. Ozay, O. Rodop, O. Ersen

17:06 - 17:12h at Lanchid Room

Categories: Orthopaedic Surgery and Traumatology, Poster Session

Session: Poster II (P4) - Varia

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Background
Diabetic foot is one of chronic complications of diabetes which causes the longest hospitalization and a problem ends up with amputation even death. Therefore in treatment process multidiciplinary approach will be more beneficial rather than one doctor follow-up.

Material and Methods
In this study we evaluated the effects of treatment modalities on outcome in diabetic foot patients in our hospital last two years and analyse the comorbidities retrospectively. In the study 166 patients evaluated, 112 men and 54 women. Men/women ratio was approximately 2/1. We could not show any advantage of sex in major amputation patients. The mean diabetes duration was 18.5 years. However there was no statistically significant relation between diabetes duration and major amputation.

Result
The mean fasting blood glucose level was 185 mg/dl, mean HbA1c level was 7.52. These shows poor glycemic control in our patient group. No relation was found between glycemic regulation and major amputation. Treated patients divided into three groups; conservative, minor and major amputation. Major amputation group compared with conservative and minor amputation group as one afterwards. There was a statistically significant relation between peripheral vascular disease (PVD), neuropathy
and also chronic renal failure with major amputation.

Conclusion
It is seen that some of the patients appealed at the last stage and statistical analyses showed that multidiciplinary approach is effective preventing major amputation.