Journal of AdvancedMedical and Dental Sciences Research

Background: Diabetic foot ulcers (DFUs) are one of its most severe and costly complications and represent one of the most common causes of hospitalization of diabetic patients. The present study was conducted to assess cases and management of diabetic foot ulcers. Materials & Methods: 84 cases of diabetic foot ulcers of both genders were categorize them into six grades from 0 to 5 based on Meggit–Wagner classification system. Parameters such as duration of diabetes mellitus, type of treatment and complications of DFU were recorded. Results: Duration of diabetes was 1-5 years in 12, 5-10 years in 28 and >10 years in 44. Wagner grading 0 was seen in 2, grade 1 in 10, grade 2 in 18, grade 3 in 25, grade 4 in 15 and grade 5 in 14. Management was medical in 2, I & D in 25, debridement in 10, SSG in 11, amputation of toe in 14 and below knee amputation in 10. Common complication was serum hyperosmolarity in 2%, septic shock in 32%, ketosis in 14% and hyponatremia in 10%. The difference was non- significant (P> 0.05). Conclusion: Long duration of diabetes is one of the reasons for diabetic foot ulcer. Most of the cases had grade 3 and management requirement was incision and debridement followed by amputation of toe.