To determine the acute stump complications in major amputation occuring in hospitalized diabetic foot patients through Amit Jain’s typing and scoring system-a prospective study

Abstract

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.

Amit Jain’s classification for diabetic foot complications: The universal classification supreme

“…Even in recent series of Jain et al [2] , it was seen that most major amputation were performed in patients with type 1 diabetic foot complications. It was also seen that most stump complication following major amputation [78.6%] occurred in patients with type 1 diabetic foot complication [7] . It was also seen that majority of mortality [78.38%] occurring in diabetic foot were seen in patients with type 1 diabetic foot complication [20] .…”

“…In past few years, we have seen a tremendous development in various new concepts in diabetic foot. The biggest development is the Amit Jain's Principle and Practice of diabetic foot, the new modern diabetic foot surgery proposed by Amit Jain, a pioneering diabetic foot surgeon from Indian subcontinent [5,6,7] . The new system of practice of diabetic foot by Amit Jain, who is considered to be a Father of this new modern Diabetic foot surgery, consist of various new concepts that has changed the perception of how diabetic foot should be understood and managed.…”