ABSTRACT
Objective: To study the pattern of diabetic foot among diabetic patients visiting the tertiary care hospital
Study Design: Observational descriptive study
Place and Duration of Study: Combined Military Hospital [CMH] Rawalpindi and Military Hospital [MH], Rawalpindi, from June 2014 to August 2014
Material and Methods: Fifty six known diabetic patients, undergoing treatment or follow up for diabetic foot were included in the study. A detailed medical history was obtained and recorded in the proforma. Frequencies and percentages of complications of diabetic foot were calculated. SPSS version 16 was used for data analysis
Results: Out of fifty six diabetic patients, 35 [62.5%] were male and 21 [37.5%] were females; their mean age was 58.21 +/- 7.10 years. Mean duration of Diabetes mellitus was 6.04 +/- 3.35 years. The median known duration of DM2 was 11 [5-43] years. 21.4% of patients had foot infection while 35.7% patients were suffering from foot ulcers. 42.9% patients had both, foot infection along with ulcers
Conclusion: Foot infections and foot ulcers are common feature of diabetic foot. Infected foot ulcer is a common cause of morbidity in diabetic patients, ultimately leading to dreaded complications like gangrene and amputations. All patients with diabetes should have an annual foot examination
ABSTRACT
To highlight the presentation, outcome and the role of embolectomy in the management of acute limb ischemia. A descriptive study. Department of Vascular Surgery, CMH Rawalpindi from Oct 2008 to Dec 2010. All patients with acute limb ischemia presenting at CMH Rawalpindi during study period and managed by embolectomy were included. Embolectomy was performed through transfemoral or transbrachial approach, depending upon the limb involved under local anesthesia with Fogarty catheter. Eight four patients of acute limb ischemia were managed by embolectomy during study period. Lower limb was affected more frequently 51 [60.7%] than upper limb 33 [39.3%]. Male to female ratio was 1.4: 1. Forty eight [57.1%] patients reported 12 hours after the onset of symptoms. Embolism was the most common cause present in 53 [63%] and most frequent site of obstruction was femoral bifurcation 23 [45%]. Presence of paralysis and skin changes were bad prognostic signs. Eight patients [9.5%] had fasciotomy at the time of embolectomy. Nine major amputations were carried out in 8 patients [10.7%]. Eleven patients [13.0%] died within 30 days. Limb salvage rate was 83.3%. In the scenario of multiple new therapeutic techniques, embolectomy is still a simple, safe and effective surgical option for treatment of acute limb ischemia