Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Clinical Analysis and Results after the Amputations of Lower Extremities due to Diabetic Foot

당뇨병성 족부 질환에 의한 하지 절단 후 임상적 분석과 결과

  • Kim, Taik-Seon (Department of Orthopaedic Surgery, Seoul Veterans Hospital) ;
  • Kang, Jong-Woo (Department of Orthopaedic Surgery, College of Medicine, Korea University) ;
  • Lee, Sang-Jun (Department of Orthopaedic Surgery, Seoul Veterans Hospital) ;
  • Huh, Young-Jae (Department of Orthopaedic Surgery, College of Medicine, Korea University) ;
  • Kim, Hak-Jun (Department of Orthopaedic Surgery, College of Medicine, Korea University)
  • 김택선 (서울보훈병원 정형외과) ;
  • 강종우 (고려대학교 의과대학 정형외과학교실) ;
  • 이상준 (서울보훈병원 정형외과) ;
  • 허영재 (고려대학교 의과대학 정형외과학교실) ;
  • 김학준 (고려대학교 의과대학 정형외과학교실)
  • Published : 2009.06.15
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Abstract

Purpose: The authors evaluated the clinical results and prognosis after amputating the lower extremity due to diabetic foot. Materials and Methods: From 1991 to 2003, the patients who had suffered amputation of his lower extremity due to diabetic foot ulcer were evaluated retrospectively. 79 patients were male and 6 patients were female. The author evaluated the patient who had the ipsilateral additional surgery, contralateral amputation, level of blood sugar, combined disease and mortality rate within 5 years from medical record. Statistical analysis was done by Chi-square test and Kaplan-Meier survival test. Results: Mean age of patients who had first experienced amputation was 63.4 years old. The mean duration of diabetes until amputation was $14.5{\pm}7.5$ years. Major amputations were 50 cases and minor amputations 35 cases. 20 patients (23.5%) were suffered ipsilateral secondary surgery including revised stump. Overall 5-year mortality rate was 18.8% (16 cases). Death rate within 1 year was 8.2% (7 cases), mortality rate within 3 years was 14.1% (12 cases). 5-year mortality rate after major amputation was 20% (10 cases) and after minor amputation was 17.1% (6 cases). It was statistically significant (p<0.05). Patient who underwent more than 2 combined vascular related disease had higher mortality rate than diabetic amputee without combined disease (p<0.05). Conclusion: Mortality rate after major amputation was significant higher than amputation after minor amputation in diabetic patients from our data.

Keywords

References

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