Evaluation of Diabetic Foot Complications According to Amit Jain’s Classification
NC07-NC09
Correspondence
Dr. Kalaivani V,
#20/1, Payappa Garden, Tasker Town, Queen’s Road Down, Bangalore, Karnataka - 560051, India.
Phone : 9945090285, E-mail : dr.vani_rajan@yahoo.com
Background: Wagners classification has been one of the commonly used grading system for diabetic foot lesions. Amit Jain’s classification is a new classification which includes almost all the common problems affecting diabetic foot. The aim of our study was to include the patients with Diabetic foot in different sub groups as per the new classification and to evaluate the outcome.
Materials and Methods: This retrospective study was conducted by analyzing the records of the inpatients in the Department of Surgery in a tertiary care teaching institute at Bangalore, India, between June 2013 to December 2013.
Results: Males (82.11%) were more commonly affected than females, the ratio being 4.6:1. Type 1 diabetic foot complications (91.06%) were the most common type of diabetic foot complication seen at our centre. Wet gangrene (35.7%) was the most common type of type 1 diabetic foot complication. Twenty (16.26%) patients underwent major amputations out of which 12.2% belonged to type 1 complications.
Conclusion: Majority of the diabetic foot patients in a tertiary care hospital belonged to type 1 complication. Most of the major amputations in a diabetic occurred in type 1 diabetic foot complication. This classification was found to be very easy and almost all the diabetic foot complications were placed effectively and appropriately in this classification.