Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Risk Factors of Syme Amputation in Patients with a Diabetic Foot

당뇨발 환자에서 Syme 절단술의 위험 인자

  • Gwak, Heuichul (Department of Orthopaedic Surgery, Busan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Jeongyo (Department of Orthopaedic Surgery, District Hospital, Korea Army Training Center) ;
  • Kim, Youngjun (Department of Orthopaedic Surgery, Busan Paik Hospital, Inje University College of Medicine) ;
  • Lee, Jeonghan (Department of Anesthesiology and Pain Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Lee, Woonseong (Department of Orthopaedic Surgery, Busan Paik Hospital, Inje University College of Medicine)
  • 곽희철 (인제대학교 의과대학 부산백병원 정형외과학교실) ;
  • 김전교 (육군훈련소 지구병원 정형외과) ;
  • 김영준 (인제대학교 의과대학 부산백병원 정형외과학교실) ;
  • 이정한 (인제대학교 의과대학 부산백병원 마취통증의학교실) ;
  • 이운성 (인제대학교 의과대학 부산백병원 정형외과학교실)
  • Received : 2016.01.23
  • Accepted : 2016.04.19
  • Published : 2016.06.15
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Abstract

Purpose: This study examined the factors affecting the treatment of diabetes mellitus foot patients who had undergone a Syme amputation. Materials and Methods: This study included 17 patients diagnosed with a diabetes mellitus foot and who had undergone a Syme amputation from January 2010 to January 2014. Some of the risk factors (age, body mass index [BMI], disease duration, smoking, ankle brachial index [ABI], HbA1c, serum albumin, total lymphocyte, C-reactive protein [CRP], and serum creatine) that affect the successful Syme amputation were analyzed. Results: The healing rate of a Syme amputation was significantly higher when the lymphocyte count was above $1,500mm^3$ (p=0.029). The factors affecting the surgical outcome according to multivariate analysis were HbA1c and the BMI (p=0.014, p=0.013). Regarding reamputation, there was a significant difference with HbA1c, lymphocyte, and BMI (p=0.01, p=0.03, and p=0.01). No significant differences were observed with age, disease duration of diabetes mellitus, smoking, ABI, serum albumin, CRP, and serum creatine. Conclusion: The HbA1c level, BMI and total lymphocyte count are risk factors that must be considered for successful Syme amputation in patients with diabetic foot disease.

Keywords

References

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