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DETERMINANTS OF LOWER LIMB AMPUTATIONS IN DIABETICS IN SURGICAL DEPARTMENT OF MAYO HOSPITAL, LAHORE

Dr. Rana Muhammad Arslan Anwar, Dr. Javaria Khurshid, Dr. Shehroz Sultan

Diabetes is a major cause of lower limb amputations in Pakistan .In this research paper we held a cross sectional study to establish the major determinants of lower limb amputations in the diabetics admitted in surgical wards of MAYO Hospital. A sample of 60 patients (n=60) was taken by simple random technique following the inclusion criteria that the patient has diagnosed diabetes mellitus and has undergone non traumatic lower limb amputation. The determinants that we studied were neuropathy, vasculopathy, blood sugar levels, foot injury(GRADE OF foot injury), gangrene(wet or dry). The data was collected with the help of a pretested questionnaire. We found out a strong relationship between vasculopathy(93%) , neuropathy(75%), foot injury(75%), wet gangrene(78%), and poor glycemic control(high blood sugar level) (41%). Conclusion: Vasculopathy, neuropathy ,foot injury ,wet gangrene, poor glycemic control are major determinants of lower limb amputations in diabetics Keywords:Diabetes. Lower limb amputation. Vasculapathy. Neuropathy. Foot injury. Poor glycemic control

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