Common Foot Problems in Diabetic foot clinic, Sappasittiprasong hospital
Keywords:
Foot problem, Foot ulcer, diabetes patientAbstract
Objectives : To study common foot problems presented in diabetic foot clinic , Sappasittiprasong hospital
Study Design : A Retrospective descriptive study
Setting : Outpatient diabetic foot clinic at Department of Rehabilitation, Sappasittiprasong hospital.
Methods : A retrospectively review of out patient department records and diabetic foot evaluation forms of patient who visited the diabetic foot clinic at Department of Rehabilitation, Sappasittiprasong hospital.
Results : Of all diabetic patients,147 woman and 63 men with the average age of 62 years with average duration of diabetes 9.3 years were included in this study. 11 patients ( 5.2 %) of case had history of toe amputation. 165 patient (78.6%) usually use slipper shoes at outdoor. Eighty-four of the patients(40%) had lost protective sensation. Claw toe were reported as 13.8% and hallux valgus were 7.6% .The great toe was the most common site of callus formation were 7.6% , first metatarsal head were 7.1% and malleolus were 5.2%. The first metatarsal head was the most common site of ulcer were 7.6% and great toe were 6.2%. Risk of diabetes by UTDFC found that the risk of foot ulcer into category 0 (no pathology at the foot) were 98 patients (46.7% ) ,category 1 (neuropathy,no deformity) were 63 patients (30.0%),category 2 (neuropathy with deformities) were 26 patients (12.4%), category 3 (history of pathology) were 16 patients (7.6 %) and category 6 (dysvascular foot) were 7 patients (3.3 percent).
Conclusions : More than 50 percent of diabetic patients had lost protective sensation and foot deformities,the risk to develop diabetic foot ulcer in the future . Multidisciplinary diabetic foot care including patient education (proper foot care and footwear), early detection, effective management of foot problems, and scheduled follow-up must be emphasized to prevent diabetes-related lower extremities amputation.
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