Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Lower Extremity Amputations for the Diabetic Foot Complication

당뇨병성 족부 합병증에 따른 하지 절단술

  • Jung, Hong-Geun (Department of Orthopaedic Surgery, Dankook University College of Medicine) ;
  • Kim, You-Jin (Department of Orthopaedic Surgery, Dankook University College of Medicine) ;
  • Shim, Shang-Ho (Department of Orthopaedic Surgery, Dankook University College of Medicine) ;
  • Paik, Ho-Dong (Department of Orthopaedic Surgery, Dankook University College of Medicine)
  • 정홍근 (단국대학교 의과대학 정형외과학교실) ;
  • 김유진 (단국대학교 의과대학 정형외과학교실) ;
  • 심상호 (단국대학교 의과대학 정형외과학교실) ;
  • 백호동 (단국대학교 의과대학 정형외과학교실)
  • Published : 2006.06.01
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Abstract

Purpose: To evaluate the clinical manifestations, the patterns and the functional outcome of the amputations due to the diabetic foot complications. Materials and Methods: Fifty patients (50 feet) of diabetic foot amputations were followed for more than 1 year. The mean age was 62.5 years, and the mean follow-up period was 46 months. Retrospective analysis was performed using chart review and interview with the patients. The outcome was assessed with modified AOFAS scale. Results: The diabetic foot lesions were infection in 45 feet, gangrene in 35 feet and ulcer in 15 feet. Toe amputation was most commonly performed procedure (23 cases) followed by below knee and ray amputation. Postoperative modified AOFAS score was average 51.5 points, and 94% were satisfied with outcome. Minor amputations showed better outcome than the major amputations. Conclusion: Overall postoperative functional outcome was encouraging with high patient satisfaction rate (94%). Better outcome was obtained with the minor amputations.

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