Analysis of the results of surgical treatment of diabetic foot

Abstract

Activities of department for suppurative infections are analyzed for 13 years. A total of 2099 diabetics with pyonecrotic complications were treated there, which made up 7.5%o of all inpatients. Of these, 1234 (58.8%) were hospitalized for pyonecrotic processes in the lower limbs. During 13 years, the number of diabetic inpatients increased by 36.6%, the number of operated patients with insulin-dependent diabetes (IDDM) increased 17 times, and of those with non-insulin-dependent condition (NIDDM) 8.72 times. Primary high amputations of the limbs were carried out in 4%o patients with IDDM and in 30.2% patients with NIDDM. Primary radical operations on the foot were performed in 96%o IDDM patients and in 69.8%o NIDDM ones. Two years after primary radical surgery, the limb was lost in 14.5%) of IDDM patients and in 34.2%o of NIDDM ones. The authors adhere to modern primary radical operations on the foot, followed by fitting with adequate prostheses, and emphasize poor organization of prehospital medical care.