Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Analysis of the Risk Factors for Lower Extremity Amputation due to Diabetic Foot Complications

당뇨병성 족부 합병증에 따른 하지 절단술의 위험 인자에 대한 분석

  • Jung, Hong-Geun (Department of Orthopedic Surgery, Konkuk University School of Medicine) ;
  • Kim, You-Jin (Department of Orthopedic Surgery, National Police Hospital) ;
  • Shim, Shang-Ho (Department of Orthopedic Surgery, Dankook University College of Medicine) ;
  • Kim, Hee-Jin (Department of Internal Medicine, Dankook University College of Medicine)
  • 정홍근 (건국대학교 의과대학 정형외과학교실) ;
  • 김유진 (국립경찰병원 정형외과학교실) ;
  • 심상호 (단국대학교 의과대학 정형외과학교실) ;
  • 김희진 (단국대학교 의과대학 내과학교실)
  • Published : 2007.12.01
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Abstract

Purpose: To evaluate the possible risk factors of lower extremity amputations in diabetic foot patients. Materials and Methods: The study is based on 37 patients who received lower extremity amputations from April, 1997 to February 2005 due to diabetic foot complications with at least 1 year follow up. As for the control group, 49 diabetes patients who had been treated at the endocrinology department for at least 1 year without any diabetic foot complication were evaluated. As for the possible risk factors, age, gender, duration of diabetes mellitus, body mass index, Hb A1c, blood glucose level, total cholesterol, s-creatinine, C-peptide, smoking, alcohol, hypertension, cardiovascular disease, CVA, retinopathy and neuropathy were investigated. Results: Among the possible risk factors evaluated, age, Hb A1c, smoking, neuropathy and blood glucose level factors showed statistically significant difference between the diabetic amputation and the control group. Conclusion: In reducing the risk of the lower extremity amputations in the diabetic patients due to diabetic foot complications, strict control of blood glucose level and cessation of smoking were found to be utmost important.

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