Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Incidence and Risk Factors of Ipsilateral Foot and Lower Limb Reamputation in Diabetic Foot Patients

당뇨족 환자에서 동측 족부 및 하지 재절단술의 발생빈도 및 위험인자

  • Choi, Sun-Jin (Department of Orthopedic Surgery, Maryknoll Hospital) ;
  • Lee, Chang-Bum (Department of Orthopedic Surgery, Maryknoll Hospital) ;
  • Kim, Myoung-Soo (Department of Orthopedic Surgery, Maryknoll Hospital) ;
  • Ha, Jeong-Han (Department of Orthopedic Surgery, Maryknoll Hospital) ;
  • Park, Hyung-Taek (Department of Orthopedic Surgery, Maryknoll Hospital)
  • 최선진 (부산 메리놀병원 정형외과) ;
  • 이창범 (부산 메리놀병원 정형외과) ;
  • 김명수 (부산 메리놀병원 정형외과) ;
  • 하정한 (부산 메리놀병원 정형외과) ;
  • 박형택 (부산 메리놀병원 정형외과)
  • Received : 2011.01.22
  • Accepted : 2011.02.22
  • Published : 2011.03.15
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Abstract

Purpose: To evaluate the incidence and risk factors of ipsilateral reamputation after lower limb amputation in the patient with diabetic foot lesions. Materials and Methods: Between May 2005 and June 2009, 88 patients who underwent lower limb amputation were analyzed. Group 1 consisted of 73 patients who didn't have a ipsilateral reamputation after lower limb amputation and group 2 consisted of 15 patients who underwent reamputation. We compared several factors between two groups, such as age, gender, BMI, ABI, Wagner classification, wound culture, site of amputation, vascular surgery, the period of diabetes mellitus, chronic renal failure. Results: Fifteen (17%) of 88 patients had a ipsilateral limb reamputation and 13 patients (87%) of them underwent reamputation within 6 months. When we compared the two groups, average age was 59.3 (range, 48-74 years); 62.9(range, 44-78 years). Age was significantly associated with reamputation rate (p=0.02) and no reamputation after initial amputation above ankle joint was found. Other factors did not show statistically difference between both groups. Conclusion: There were no significant difference between diabetic limb amputation and reamputation group in our concerned risk factors except age and amputation level. There should be careful consideration when determine level of amputation in diabetic foot lesions especially in elder patients.

Keywords

References

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