Journal of AdvancedMedical and Dental Sciences Research

Background: One of the typical lesions occurring over the areas usually located over pressure sites is the neuropathic diabetic foot. Various treatment modalities available for the treatment of such lesions is both surgical and non-surgical. Non-surgical treatment of the uncomplicated neuropathic ulcer consists of debridement and supportive care. Surgical treatment of such lesions has been suggested by various clinicians and surgeons as an alternative way. Hence; we evaluated the efficacy of surgical and non-surgical line of treatment of patients with diabetic neuropathic foot ulcer. Materials & Methods: The present study was conducted in the department of general surgery of the institution and included all the patients that reported with the chief complaint of diabetic foot lesion from 2011 to 2015. Patients were randomized into two groups according to a table of randomization: group 1 received non-operative treatment, consisting of initial debridement and medication of ulcer, relief of weight-bearing regular dressings, and follow-up; group 2 underwent surgical excision of the ulcer, debridement or removal of bone segments underlying the lesion, necessary, subsequent suture of the skin, and relief of weight-bearing for 4 weeks. All the results were analyzed by SPSS software. Results: No. of patients in both the groups is 40 each. Mean age of the patients in group 1 and group 2 was 64.50 and 66.42 years respectively. Mean BMI index of the patients in group 1 and group 2 was 28.42 and 29.81 respectively. Non-significant results were obtained while comparing the demographic details in between the two study groups. Mean healing time for all ulcers in group 1 and 2 was 125 days and 51 days respectively. Mean healing time for healed ulcers in group 1 and 2 was 101 days and 41 days respectively. Conclusion: In cases of non-complicated neuropathic diabetic foot lesions, conservative surgical treatment is an effective approach.
Key words: Diabetic, Healing, Ulcer