Amit Jain’s system of practice for diabetic foot: the new religion in diabetic foot field

Abstract

Diabetic foot is a known public health problem and a devastating complication of diabetes that is known to lead to amputation. Past decade has seen various new developments in field of diabetic foot. Amit Jain’s system of practice for diabetic foot is one new such development that was developed for improvising and standardization of diabetic foot. Various new concepts were laid down under this system, thereby creating a separate system that can be equated or considered to be a new religion in diabetic foot field.

Amit Jain’s system of practice for diabetic foot: the modern diabetic foot surgery

“…This classification gives an overall guideline on treatment and also gives anb overall outcome prediction like majority of major amputation occurs in type 1 diabetic foot complications, mortality is more in type 1 diabetic foot complications, etc. 8 Secondly, Amit Jain"s classification has a supportive scoring system which distinctly predicts the outcome thereby keeping this classification purely for descriptive purpose and scoring for prediction and it avoided mixing of both. Thirdly, few of the lesion in this universal classification has separate focal classification like Amit Jain"s staging for cellulitis, Amit Jain"s ulcer classification, Amit Jain"s osteomyelitis classification etc that are known to guide therapy and predict outcomes individually.…”

“…Thirdly, few of the lesion in this universal classification has separate focal classification like Amit Jain"s staging for cellulitis, Amit Jain"s ulcer classification, Amit Jain"s osteomyelitis classification etc that are known to guide therapy and predict outcomes individually. 8 Some lesions like Charcot foot also have independent focal classification by different authors that are good to guide therapy and predict outcomes.…”

“…6,8 To understand this classification and the law, the authors feel that one needs to completely be familiar with Amit Jain"s principle and practice of diabetic foot before making any judgments as this system has many sequel"s that were laid over years forming a new modern diabetic foot system. 8 The authors feel that development of a universal classification of descriptive nature by including those lesions that weren"t looked upon for decades by most researchers and also developing a distinct universal surgical scoring system that uniquely included those essential necessary surgical, clinical, anatomical and pathological entities are one of the best contribution by Amit Jain and it clears the controversies in diabetic foot and makes our understanding much clearer. 17,29 A word of cautious is that one should not mix Amit Jain"s classification for diabetic foot complications and Amit Jain"s classification for diabetic foot ulcers as both are different.…”

“…In spite of knowing all these differences, various concepts in diabetic foot were followed from western literature. 8 The authors have observed that often people have mixed up classifications in diabetic foot and their expectations from different classifications are varied and many are assessed for the function and properties which the classification is not meant for. This leads to huge confusion among readers who will misunderstand a classification and its purpose.…”

Analysis of the ipsilateral and the contralateral foot in patients admitted with diabetic foot complication through Amit Jain’s triple assessment for foot in diabetes

“…10 Various recent studies have shown that type 1 diabetic foot complications are more commonly seen in hospitalized patient and are more common cause of amputation. [11][12][13][14] It is thus possible to reduce the foot problems in diabetes patient by regular examination of the feet by the health care professional be it a doctor or a nurse. 15 However, it doesn't happen in practice as suggested.…”