Dr. Aali Ahmed Ejaz, Dr. Shiza Butt, Dr. Anam Riaz
Aim: To know the frequency of different types of amputation in diabetic foot ulcers. Material and methods: A prospective study was held in the Department of Surgery and Orthopedic department of POF Hospital Wah Cantt among 53 consecutive patients for one year from April 2019 to April 2020. All patients with Wagner fourth and fifth-degree diabetic foot ulcers were included in the study. Standard hip disarticulation, amputation above knee, amputation below knee and ray amputation were performed accordingly. Results: 53 patients participated in the study. Men were 30 years old, women 23 years old. The minimum age is 30 years, the maximum is 80 years, the average age is 58.26 years. According to Wagner's classification, 9 patients were grade 4 and the rest were grade 5. The right side was in 25 (47.2%) patients and the left side was in 28 (52.8%) patients. Finger amputation in 5 (9.4%), amputation with 2 fingers in 2 (3.8%), amputation with 3 fingers in 1 (1.9%) patients, little finger in 1 (1.9%) patients, amputation below knees in 33 (62.3%) patients, 1 patient of ray knee amputation (1.9%), above knee amputation in 9 (17%) patients and hip bone disarticulation in 1 (1.9%) patient. Conclusion: The final results of a prospective study of diabetic foot ulcers indicate that the result is associated with poor glycemic control and longer duration of diabetes. Non-traumatic diabetic ulcers and amputations of the lower extremities are an important and costly problem for patients, healthcare systems and government. Key words: diabetic foot, ulcer, amputation, Wagner's degree.