To study the stump complications occurring in patients with major amputations in diabetic foot and analyze them through Amit Jain's classification for diabetic foot complication and Amit Jain's scoring system. Methods and Material: A prospective study was conducted in Department of surgery of Rajarajeswari medical college, Bengaluru, India. The study period was from June 2018 to may 2019. An IEC approval was obtained for this study. Results: A total of 15 patients who underwent major amputation were included in the study and majority of them were males. Around 86.7% of the patients were above 50 years of age. 60% of the major amputation were done in type 1 diabetic foot complication. 80% of patients underwent below knee amputation.73.4% of the patients with major amputation had score of 16 and above. 66.7% of the patients had some form of stump complication after major amputation and they occurred significantly in patients who had score of 16 and above. Around 66.7 % of patients had their stump closed after major amputations and 80 % of them were significantly done in type 1 diabetic foot complications. Conclusion:In this study that utilizes Amit Jain's universal classification and scoring system, type 1 diabetic foot complications were the commonest cause for major amputation. Below knee amputation was the most common type of major amputation. Majority of the patients developed some form of stump complication after major amputation. Most major amputations were done in patients who had a score of 16 and above and the stump complications was statistically significant in patients whose score was 16 and above.
To analyze and distribute the Charcot foot in diabetes through the new Amit Jain's classification for Charcot foot (E "SCC") and to predict outcomes associated with this new classification. Materials and Methods: A descriptive retrospective analysis was conducted at 2 different centers in Bengaluru city, India. The study period was for 2 years. An IEC clearance was obtained prior to the study. Statistical analysis was done using SPSS 22 and R environment Ver.3.2.2. Results: A total of 16 patients were studied who fulfilled inclusion criteria. Majority were males accounting for 68.85% of the cases. 31.3% had acute Charcot foot. Majority of the patients were in type 1 Charcot foot. Midfoot was most commonly involved with pattern III being most common affecting 75% of the patients. Major amputation occurred in 12.5% of the cases and osteomyelitis was significantly associated with major amputation (P-0.008). TCC and Removable cast walker were significantly used in acute Charcot foot. Conclusion:In this validation study, it is seen that majority of the Charcot foot in clinical practice were of simple type and surgeries were done in type 3 Charcot foot. All the major amputation occurred in type 3 Charcot foot and osteomyelitis had significant association with amputation. There was no mortality in this study. Amit Jain's classification for Charcot foot is a simple, practical, easy to remember focal classification that guides therapy, serves a good teaching and communicative tool.
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