Debridement In Diabetic Foot Complications – An Analysis Of Debridement Using Amit Jain’s Grading System For Debridement

Abstract

Aim – To analyse surgical debridement done in diabetic foot complications using the new Amit Jain’s grading system for debridement in diabetic lower limbs. Methods and materials – A retrospective analysis was carried in Department of surgery of St Johns medical college, Bangalore, India. The study period was from January 2012 – December 2013. Results – A total of 55 patients underwent debridement in diabetic foot during this period. Debridement was most commonly done in type 1 diabetic foot complications followed by type 3 diabetic foot complications. In 76.36%, debridement was alone done. Grade 2 was the most common debridement done. 5.45% of patients who underwent debridement ended up in major amputation. The mortality following debridement was 3.64%. Conclusion – Debridement in diabetic foot is one of the most underestimated and neglected procedure. Grade 2 debridement is the most common debridement done in Inpatients. Majority of the patients underwent debridement only once. This is the first series that studies debridement in diabetic foot through the Amit Jain’s grading system for debridement in diabetic lower limb.