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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2020, Number 2

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Acta Ortop Mex 2020; 34 (2)

Identification by images of the patient with diabetic foot of the type of injuries that required or will require amputation

King-Martínez AC, Doger-Echegaray P, Hoyo-Pérez LI
Full text How to cite this article 10.35366/95318

DOI

DOI: 10.35366/95318
URL: https://dx.doi.org/10.35366/95318

Language: Spanish
References: 5
Page: 77-80
PDF size: 158.35 Kb.


Key words:

Diabetic foot, ulcers, complications, amputation, treatment.

ABSTRACT

Introduction: Diabetes is a chronic-degenerative disease that develops after pancreatic dysfunction. An estimated 422 million people in the world are currently diagnosed with diabetes. One of its most common complications is diabetic foot. It is estimated that about 15% of diabetic patients will have lower extremities ulcers. Material and methods: It is an observational, descriptive, prospective and cross-sectional study. It aims to know what the initial injuries that triggered an amputation in a complicated diabetic foot. Patients were presented with clinical photographs with images typical of pathologies for recognition. Results: A total of 50 patients were included between January 2017 and July 2019. Of these 78% (38) patients were male, 22% (11) female. 22 patients (44%) recognized as the onset of diabetic foot an ulcer, 13 with blisters (26%), 10 with hyperkeratosis (20%), 5 with hammer toes (10%). Conclusions: 96% of patients were able to identify at least one injury as a predisposing factor for the onset of their complicated diabetic foot. The presentation of clinical photographs proved to be a patient-accepted tool. By identifying their initial injury we can determine which injury and where, where, it gave rise to the complication that led them to amputation. This information can help to perform preventive measures to limit amputations in the pelvic limbs of diabetic patients.


REFERENCES

  1. Diabetes Who.int. (2019). Diabetes. [Online] [Accessed 12 Dec. 2019]. Available at: http://www.who.int/es/news-room/fact-sheets/detail/diabetes.

  2. Who.int. (2019). Diabetes. [Online] [Accessed 12 Dec. 2019] Available at: https://www.who.int/news-room/fact-sheets/detail/diabetes.

  3. Latest diabetes statistics in Mexico-ENSANUT 2018. Anon, (2019). [Online] [Accessed 12 Dec. 2019] Available at: http://oment.uanl.mx/latest-diabetes-statistics-in-mexico-ensanut-2018/?lang=en.

  4. Márquez-Godínez SA, Zonana-Nacach A, Anzaldo-Camposa MC, Muñoz-Martínez JA. Riesgo de pie diabético en pacientes con diabetes mellitus tipo 2 en una unidad de medicina de familia. Semergen. 2014. http://dx.doi.org/10.1016/j.semerg.2013.10.004.

  5. McCulloch DK. Evaluation of the diabetic foot. UpToDate.




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C?MO CITAR (Vancouver)

Acta Ortop Mex. 2020 Mar-Abr;34